Individual provider Active NPI

Matthew Scott McHenry, NP

  • Adult Health Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1083459028
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311857 Issued in NY
Practice address
3200 West St Ste 500
Canandaigua, NY 14424-1722
Phone
(585) 905-0061
Fax
(585) 412-6612
NPI assigned
Jul 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311857 NY Primary

Addresses

Primary practice location

3200 West St Ste 500
Canandaigua, NY 14424-1722

Mailing address

3200 West St Ste 500
Canandaigua, NY 14424-1722
Phone (585) 905-0061

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
I20250827003339 NY Practitioner - Nurse Practitioner 7618478132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians

Practice addresses (Care Compare)

470 Collins St
Avon, NY 14414-1466
Phone (585) 226-2640

Hospital & facility affiliations

  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311857NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince May 22, 2025 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 10, 2025 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 10, 2025 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince May 22, 2025 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

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

601 Elmwood Ave
#684
Rochester, NY 14642
Phone (585) 784-9503

Interoperability endpoints

  • Direct secure messaging: mmchenry575812@direct.urmc.rochester.edu

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 6

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083459028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WEST ST STE 500",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-905-0061",
            "fax_number": "585-412-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WEST ST STE 500",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241722",
            "telephone_number": "585-905-0061",
            "fax_number": "585-412-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-09-11",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.