Individual provider Active NPI

Amanda K Behan

  • Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1083334130
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
350586 Issued in NY
Practice address
400 Red Creek Dr Ste 110
Rochester, NY 14623-4273
Phone
(585) 486-0147
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 755076 NY
Nurse Practitioner 363L00000X 350586 NY Primary

Addresses

Primary practice location

400 Red Creek Dr Ste 110
Rochester, NY 14623-4273

Mailing address

601 Elmwood Ave Box Med
Rochester, NY 14642-0001
Phone (585) 486-0147

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address abehan139414@direct.urmc.rochester.edu Direct
Direct Messaging Address abehan139414@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
I20221215002842 NY Practitioner - Nurse Practitioner 3678942562 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

5100 W Taft Rd
Liverpool, NY 13088-4841

7250 Janus Park Dr
Liverpool, NY 13088-4839
Phone (315) 475-8402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
755076NYMDRegistered Nurse
350586NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Medical PC Current Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Apr 1, 2025 Accepting new patients
St Joseph's Hospital Health Center CurrentSince Apr 1, 2025 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Oct 17, 2022 Accepting new patients
Suny Health Science Center at Syracuse Nurse Practitioner CurrentSince Feb 12, 2026 Accepting new patients
St. Joseph's Pathology, PC Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Feb 12, 2026 Accepting new patients
University of Rochester CurrentSince Oct 17, 2022 Accepting new patients
St Josephs Medical PC CurrentSince Apr 1, 2025 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

400 Red Creek Dr
Ste 110
Rochester, NY 14623
Phone (585) 486-0147

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

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Interoperability endpoints

  • Direct secure messaging: abehan4107076@direct.trinity-health.org
  • Direct secure messaging: abehan139414@direct.urmc.rochester.edu

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1083334130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-486-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-486-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHAN",
        "first_name": "AMANDA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-07-22",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "755076",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abehan139414@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": "abehan139414@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": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.