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

Gail Adeline Rosenholm, PNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1063075430

Gail Adeline Rosenholm, PNP is a Nurse Practitioner in Jamesville, New York. Qualified in 2024, 2 years ago. Practices with Upstate Cerebral Palsy Inc, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

6713 Serah Ln
Jamesville, NY 13078-9690
Phone: (315) 380-6195
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 F406079-01 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 656692 (NY)

Record details

NPI number1063075430
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedApril 20, 2019
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Upstate Cerebral Palsy Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services