Individual provider Active NPI

Colleen Palermo, DNP, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1053727941
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338728 Issued in NY
Practice address
89 Genesee St
BK Building, 3Rd Floor
Rochester, NY 14611-3201
Phone
(585) 368-3506
Fax
(585) 368-3163
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 338728 NY Primary

Addresses

Primary practice location

89 Genesee St
BK Building, 3Rd Floor
Rochester, NY 14611-3201

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 368-3506

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4003

Other practice location 2

55 Genesee St , BK Building, 3Rd FLR
Rochester, NY 14611
Phone (585) 368-3506

Other identifiers 1

IdentifierTypeStateIssuer
03913320MedicaidNY

Other names 1

  • Colleen Walsh Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address colleen.palermo@rochesterregional.org

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
I20140909001741 NY Practitioner - Nurse Practitioner 9638398415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

65 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3531

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338728NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Nov 9, 2019 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 4, 2014 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 4, 2014 Accepting new patients
Rochester General Hospital CurrentSince Nov 9, 2019 Accepting new patients

Locations

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1561 Long Pond Rd
Rochester, NY 14626
Phone (585) 368-4800

89 Genesee St
Bldg 3RD
Rochester, NY 14611
Phone (585) 315-3310

55 Genesee St
Bldg 3RD
Rochester, NY 14611
Phone (585) 368-3506

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

89 Genesee St
#3
Rochester, NY 14611
Phone (585) 368-3031

65 Genesee St
Rochester, NY 14611
Phone (585) 368-3531

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 5

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 7

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1053727941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-368-3506",
            "fax_number": "585-368-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "address_2": "BK BUILDING, 3RD FLOOR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113201",
            "telephone_number": "585-368-3506",
            "fax_number": "585-368-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 GENESEE ST , BK BUILDING, 3RD FLR",
            "address_purpose": "LOCATION",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "country_code": "US",
            "telephone_number": "585-368-3506",
            "fax_number": "585-368-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "COLLEEN",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03913320",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colleen.palermo@rochesterregional.org",
            "affiliation": "N",
            "address_1": "89 Genesee St",
            "address_2": "BK Building, 3rd Floor",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146113201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "WALSH",
            "credential": "DNP, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.