Individual provider Active NPI

Roberta L. Korich, N.P.

  • Family Nurse Practitioner
  • Waterloo, NY
National Provider Identifier
1053496315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330751 Issued in NY
Practice address
367 E Main St
Seneca Family Health Center
Waterloo, NY 13165-1643
Phone
(315) 787-4977
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F330751 NY Primary

Addresses

Primary practice location

367 E Main St
Seneca Family Health Center
Waterloo, NY 13165-1643

Mailing address

442 Billsboro Rd
Geneva, NY 14456-9782

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
I20040811001150 NY Practitioner - Nurse Practitioner 7810969615 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Frederick Ferris Thompson HospitalGroup PAC ID 3274428586, 227 clinicians

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

1614 State Route 332
Farmington, NY 14425-9604
Phone (585) 289-3211

Hospital & facility affiliations

  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330751NYMDLicensed Practical Nurse
F330751NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Apr 27, 2015 Accepting new patients
FLH Medical, PC CurrentSince Jan 28, 2014 Accepting new patients
Geneva General Hospital, Inc. CurrentSince Nov 19, 2016 Accepting new patients
Geneva General Hospital CurrentSince May 20, 2002 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince May 11, 2022 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince May 11, 2022 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
FLH Medical, PC CurrentSince Jan 28, 2014 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Apr 27, 2015 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

73 Buffalo St
Ste 100
Canandaigua, NY 14424

1614 State Route 332
Farmington, NY 14425
Phone (585) 289-3211

196 North St
Geneva, NY 14456
Phone (315) 787-4156

200 North St
Ste 304
Geneva, NY 14456
Phone (315) 607-8915

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

367 E Main St
Waterloo, NY 13165
Phone (315) 539-0580

367 E Main St
Ste A
Waterloo, NY 13165
Phone (315) 787-4977

Interoperability endpoints

  • Direct secure messaging: rkorich272371@direct.urmc.rochester.edu

Organizations & group practices 10

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053496315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 BILLSBORO RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 E MAIN ST",
            "address_2": "SENECA FAMILY HEALTH CENTER",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651643",
            "telephone_number": "315-787-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORICH",
        "first_name": "ROBERTA",
        "middle_name": "L.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, NY

Sources for this page

Verify at the official NPI Registry.