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

Roberta Countryman, FNP

Individual provider Family Nurse Practitioner · NPI 1295441640

Roberta Countryman, FNP is a Nurse Practitioner in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with St Josephs Hospital Health Center, a 108-clinician group. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3709 Erie Blvd E
Syracuse, NY 13214-2227
Phone: (315) 251-2244
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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 F349152-01 (NY)

Record details

NPI number1295441640
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 29, 2023

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 St Josephs Hospital Health Center — 108 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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