Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Billy Manuel, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1093293383

Billy Manuel, NURSEPRACTITIONER is a Nurse Practitioner in Syracuse, New York. Qualified in 2018, 8 years ago. Practices with Oswego Hospital, a 59-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463
Phone: (315) 472-7363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402391 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 684280 (NY)

Record details

NPI number1093293383
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESJuly 30, 2018
Mailing address4396 Georgian Ct Apt 27, Liverpool, NY 13090-3889

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Oswego Hospital — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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