Individual provider Active NPI

Jacquelyn Macauley, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1003581869
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348080 Issued in NY
Practice address
140 Canal View Blvd
Rochester, NY 14623-2815
Phone
(585) 279-5100
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348080 NY Primary

Addresses

Primary practice location

140 Canal View Blvd
Rochester, NY 14623-2815

Mailing address

601 Elmwood Ave Box Surg
Rochester, NY 14642-8410
Phone (585) 279-5100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jcharamut102628@direct.urmc.rochester.edu Direct
Direct Messaging Address jcharamut102628@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001343 NY Practitioner - Nurse Practitioner 7113323809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgery of the UniversityGroup PAC ID 1850333725, 17 clinicians

Practice addresses (Care Compare)

140 Canal View Blvd
Suite 103
Rochester, NY 14623-2808
Phone (585) 279-5100

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

Merit-based Incentive Payment System (MIPS)

Final score
97.71 of 100Reported as group
Quality
82.34
Promoting interoperability
100
Improvement activities
40
Cost
80.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348080NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgery of the University CurrentSince Sep 12, 2021 Accepting new patients
University of Rochester PastSince Sep 12, 2021 Accepting new patients

Locations

395 West St
Ste 7
Canandaigua, NY 14424
Phone (585) 225-5767

140 Canal View Blvd
Rochester, NY 14623
Phone (585) 279-5100

140 Canal View Blvd
Ste 103
Rochester, NY 14623
Phone (585) 275-5276

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: jcharamut102628@direct.urmc.rochester.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1003581869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX SURG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428410",
            "telephone_number": "585-279-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CANAL VIEW BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232815",
            "telephone_number": "585-279-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULEY",
        "first_name": "JACQUELYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcharamut102628@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcharamut102628@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.