Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962465377 Individual Practitioner Female Practitioner

Phyllis Bazen , NP

Nurse Practitioner • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Phyllis Bazen, NP is a registered healthcare professional specializing in Nurse Practitioner in Syracuse, NY. Practice services are available at 819 S SALINA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

819 S Salina St

Syracuse, NY 132023536

Telephone 3154767921
Fax 3154751448
Associated Practice Facility / Clinic
🏢 Syracuse Community Pharmacy Facility NPI 1184797854

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
161 Specialists

Practicing in Syracuse, NY (3155 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY F301006

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02184912 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023070133

Doctor of Dental Surgery

Elizabeth Mashaw , LPN

Licensed Practical Nurse

NPI 1023421690

Licensed Practical Nurse

Tafiea Stokes , NP

Nurse Practitioner

NPI 1023459534

Nurse Practitioner

Dr. George Stanley , MD

Obstetrics & Gynecology

NPI 1043201973

Doctor of Medicine (M.D.)

NPI 1043532476

Licensed Clinical Social Worker

NPI 1053378612

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2013

Registered at 819 S SALINA ST, SYRACUSE, NY 132023536 (Tel: 3154767921)

📍
Updated Business Mailing Address August 27, 2013

Registered at 819 S SALINA ST, SYRACUSE, NY 132023527 (Tel: 3154767921)

👤
Provider Name / Credentials Updated August 27, 2013

Recorded as PHYLLIS BAZEN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Nurse Practitioner (License #F301006 in NY)

🟢
Initial NPI Registration & Enumeration April 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962465377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: August 27, 2013
Sole Proprietor: No

Mailing Address

819 S Salina St

Syracuse, NY 132023527

Phone: 3154767921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.