Jacqueline Anne Mickol, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

334652 Issued in NY

Practice address

601 Elmwood Ave
Box 320
Rochester, NY 14642-0001

Phone

(585) 275-3281

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• University of Rochester Physical Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
  • NPI 1649434648
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1073542387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 EDGEWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185358",
            "telephone_number": "585-473-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKOL",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle McPherson Therapy LCSW PLLC
• Stacey Michne, FNP
• Aimee Lynn Michno, LMSW
• Robert L Mick, MD
• Katherine Micket
• Midway Medical Transport LLC
• Alexander Miecyjak, DMD
• Susanne Ursula Miedlich, M.D.
• Crystal L Miens
• Stephanie Emily Mierzwa, PA-C

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.