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

Kristen Canzler

Individual provider Nurse Practitioner · NPI 1124781877

Kristen Canzler is a Nurse Practitioner in Ithaca, New York. Qualified in 2020, 6 years ago. Practices with Schuyler Hospital Inc, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

1229 Trumansburg Rd
Ithaca, NY 14850-1313
Phone: (607) 273-8072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Beaver Dams Moreland Rd, Beaver Dams, NY 14812-9428 — (607) 438-6955

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 310153 (NY)

Record details

NPI number1124781877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2021
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address1229 Trumansburg Rd, Ithaca, NY 14850-1313

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Schuyler Hospital Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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