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

Desiree Kinnison, NP

Individual provider Family Medicine Physician · NPI 1760091029

Desiree Kinnison, NP is a Nurse Practitioner in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with Suny Health Science Center at Syracuse, a 210-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

90 Presidential Plz
Syracuse, NY 13202
Phone: (315) 464-9335
Fax: (315) 464-9338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348082 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 348082 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 348082 (NY)

Record details

NPI number1760091029
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESDecember 19, 2024
Certification dateSeptember 6, 2022
Mailing address251 Salina Meadows Parkway, Suite 100, Syracuse, NY 13212

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Suny Health Science Center At Syracuse — 210 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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