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

Renee Nickerson, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760797229

Renee Nickerson, NP is a Nurse Practitioner in Syracuse, New York. Qualified in 2009, 17 years ago. Practices with St Josephs Hospital Health Center, a 108-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2010
Specialties on file
2
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

5108 Velasko Rd Ste 2000
Syracuse, NY 13215-1982
Phone: (315) 924-6555
Fax: (315) 306-7737
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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 335994 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 402840 (NY)

Record details

NPI number1760797229
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 9, 2010
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Josephs Hospital Health Center — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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