Individual provider Active NPI

Tammy Ann Pangrazio, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1053697284
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33 336948 Issued in NY
Practice address
905 Culver Rd
Rochester, NY 14609-7115
Phone
(585) 341-6732
NPI assigned
Nov 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 336948 NY
Family Nurse Practitioner 363LF0000X 33 336948 NY Primary

Addresses

Primary practice location

905 Culver Rd
Rochester, NY 14609-7115

Mailing address

2697 Main St
Buffalo, NY 14214-1701
Phone (716) 225-1201

Other identifiers 1

IdentifierTypeStateIssuer
03431409MedicaidNY

Other names 1

  • Tammy Ann Harcleroad Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tharcleroad33005@direct.urmc.rochester.edu Direct
Direct Messaging Address tharcleroad33005@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
I20120328000113 NY Practitioner - Nurse Practitioner 8921268038 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Rochester School of Medicine and Dentistry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Obstetrics-Gynecology GroupGroup PAC ID 2860382926, 79 clinicians

Practice addresses (Care Compare)

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-2296

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33 336948NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reproductive Endocrinology Infertility GP of Univ of Roch Current Accepting new patients
Internal Medicine Group CurrentSince Aug 7, 2017 Accepting new patients
University of Rochester CurrentSince Jun 16, 2018 Accepting new patients
University of Rochester CurrentSince Jun 16, 2018 Accepting new patients
Highlands Womens Health Obstetrics & Gynecology CurrentSince Aug 8, 2013 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
Internal Medicine Group CurrentSince Aug 7, 2017 Accepting new patients
Strong Obstetrics-Gynecology Group Obstetrics & Gynecology CurrentSince Jun 19, 2023 Accepting new patients

Locations

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

905 Culver Rd
Rochester, NY 14609
Phone (585) 275-7892

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

Interoperability endpoints

  • Direct secure messaging: tharcleroad33005@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 2

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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1053697284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141701",
            "telephone_number": "716-225-1201",
            "fax_number": "716-831-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146097115",
            "telephone_number": "585-341-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGRAZIO",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2023-07-06",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "336948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 336948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03431409",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tharcleroad33005@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": "tharcleroad33005@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": [
        {
            "first_name": "TAMMY",
            "last_name": "HARCLEROAD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.