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

Kelsey Lynn Nolan, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1568114304

Kelsey Lynn Nolan, NURSEPRACTITIONER is a Nurse Practitioner in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with Michael J Paciorek MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5540
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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 F347974-01 (NY)

Record details

NPI number1568114304
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022

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 Michael J Paciorek Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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