Individual provider Active NPI

Jenna Koss, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1033079751
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3365085 Issued in NY
Practice address
500 Red Creek Dr Ste 120
Rochester, NY 14623-4284
Phone
(585) 746-0451
NPI assigned
Nov 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 3365085 NY Primary

Addresses

Primary practice location

500 Red Creek Dr Ste 120
Rochester, NY 14623-4284

Mailing address

250 Danbury Cir S
Rochester, NY 14618-2754
Phone (585) 746-0451

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
I20260205003912 NY Practitioner - Nurse Practitioner 4486133881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Rochester OBGYN SubspecialtiesGroup PAC ID 8921161357, 17 clinicians

Practice addresses (Care Compare)

500 Red Creek Dr
Suite 120
Rochester, NY 14623-4284
Phone (585) 487-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3365085NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester OBGYN Subspecialties CurrentSince Feb 16, 2026 Accepting new patients

Locations

500 Red Creek Dr
Ste 120
Rochester, NY 14623
Phone (585) 487-3400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1033079751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DANBURY CIR S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182754",
            "telephone_number": "585-746-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RED CREEK DR STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234284",
            "telephone_number": "585-746-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSS",
        "first_name": "JENNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "3365085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.