Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaylin Shaye Pelotenia, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255215141

Kaylin Shaye Pelotenia, PMHNP-BC is a Nurse Practitioner in Syracuse, New York. Qualified in 2025, 1 year ago. Practices with Psychiatry Faculty Practice, Inc, a 90-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

719 Harrison St
Syracuse, NY 13210-2695
Phone: (315) 464-3265
Fax: (315) 464-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 407454 (NY)

Record details

NPI number1255215141
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Psychiatry Faculty Practice, Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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