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

Gwendolyn Moore, NP

Individual provider Family Nurse Practitioner · NPI 1487058145

Gwendolyn Moore, NP is a Nurse Practitioner in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2011, 15 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2014
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

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 474-1561
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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 336836 (NY)

Record details

NPI number1487058145
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESNovember 13, 2023
Certification dateOctober 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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