Individual provider Active NPI

Patricia Marie Venniro, FNP

  • Family Nurse Practitioner
  • Ontario, NY
National Provider Identifier
1083170203
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344062 Issued in NY
Practice address
6280 Furnace Rd Ste 600
Ontario, NY 14519-8974
Phone
(315) 791-0050
NPI assigned
Feb 12, 2019
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 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 344062 NY Primary

Addresses

Primary practice location

6280 Furnace Rd Ste 600
Ontario, NY 14519-8974

Mailing address

6280 Furnace Rd Ste 600
Ontario, NY 14519-8974

Other practice location 1

1000 State Rd
Webster, NY 14580-9372
Phone (585) 872-9396

Other practice location 2

5201 County Line Rd
Webster, NY 14580-9203
Phone (585) 831-9428

Other practice location 3

4901 Lac De Ville Blvd Bldg D
Rochester, NY 14618-5647
Phone (585) 275-5321

Other identifiers 1

IdentifierTypeStateIssuer
05590038MedicaidNY

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
I20190402001115 NY Practitioner - Nurse Practitioner 7911248893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health NP Immediate Care, PLLCGroup PAC ID 5193179786, 3 clinicians

Practice addresses (Care Compare)

6280 Furnace Rd
Suite 600
Ontario, NY 14519-8974
Phone (315) 791-0050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health NP Immediate Care, PLLC CurrentSince Sep 21, 2020 Accepting new patients
Rockland Urgent Care Family Health NP, P.C. CurrentSince Mar 24, 2022 Accepting new patients

Locations

6280 Furnace Rd
Ste 600
Ontario, NY 14519
Phone (315) 791-0050

89 S Route 9W
West Haverstraw, NY 10993
Phone (845) 426-6156

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGEFDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1083170203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 FURNACE RD STE 600",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145198974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 FURNACE RD STE 600",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145198974",
            "telephone_number": "315-791-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 State Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145809372",
            "country_code": "US",
            "telephone_number": "585-872-9396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145809203",
            "country_code": "US",
            "telephone_number": "585-831-9428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Lac De Ville Blvd Bldg D",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185647",
            "country_code": "US",
            "telephone_number": "585-275-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENNIRO",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05590038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, NY

Sources for this page

Verify at the official NPI Registry.