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

Blaze Fahnestock, FNP

Individual provider Nurse Practitioner · NPI 1386246692

Blaze Fahnestock, FNP is a Nurse Practitioner in Pulaski, New York. Qualified in 2020, 6 years ago. Practices with Northern Oswego County Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

61 Delano St
Pulaski, NY 13142-1400
Phone: (315) 298-6569
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 346711 (NY)

Record details

NPI number1386246692
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northern Oswego County Health Services, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pulaski