Mrs Gracia Lynnette Roulan, MSN, FNP - Medicare Nurse Practitioner in Syracuse, NY

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Mrs Gracia Lynnette Roulan, MSN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Syracuse, New York. Her current practice location is 1050 W Genesee St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 641-2385.

Mrs Gracia Lynnette Roulan is licensed to practice in New York (license number 337452) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285989681.

Contact Information

Mrs Gracia Lynnette Roulan, MSN, FNP
1050 W Genesee St,
Syracuse, NY 13204-2243
(315) 641-2385
(315) 305-4677

Map and Direction




Provider's Profile

Full NameMrs Gracia Lynnette Roulan
GenderFemale
SpecialityNurse Practitioner - Family
Location1050 W Genesee St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285989681
  • Provider Enumeration Date: 07/23/2012
  • Last Update Date: 09/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557519436
  • Enrollment ID: I20120918000820

Medical Identifiers

Medical identifiers for Mrs Gracia Lynnette Roulan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285989681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 337452 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Gracia Lynnette Roulan allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameEmergency Care Services Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639236656
PECOS PAC ID: 3678678646
Enrollment ID: O20070419000474
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744
Entity NameWellnow Urgent Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669825162
PECOS PAC ID: 8325320864
Enrollment ID: O20170118001953

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Gracia Lynnette Roulan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Gracia Lynnette Roulan, MSN, FNP
1050 W Genesee St,
Syracuse, NY 13204-2243

Ph: (315) 477-4663		Mrs Gracia Lynnette Roulan, MSN, FNP
1050 W Genesee St,
Syracuse, NY 13204-2243

Ph: (315) 641-2385

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.