Active NPI
Melissa J O'Sullivan, N P
- Adult Health Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F300749
- Practice address
- 1870 Winton Rd S
BLDG 4 Suite 1
Rochester, NY 14618-3916 - Phone
- (585) 473-0495
- Fax
- (585) 442-0750
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F300749 | NY | Primary |
Addresses
Primary practice location
1870 Winton Rd S
BLDG 4 Suite 1
Rochester, NY 14618-3916
Mailing address
1870 Winton Rd S
BLDG 4 Suite 1
Rochester, NY 14618-3916
Phone (585) 473-0495
Other practice location 1
30 Hagen Dr Ste 100
Rochester, NY 14625-2658
Phone (585) 442-5320
Other practice location 2
1415 Portland Ave Ste 445
Rochester, NY 14621-3022
Phone (585) 442-5320
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F300749 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients |
Locations
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
1415 Portland Ave
Ste 445
Rochester, NY 14621
Phone (585) 922-3576
30 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 242-9450
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
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.
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1083752034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 WINTON RD S",
"address_2": "BLDG 4 SUITE 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183916",
"telephone_number": "585-473-0495",
"fax_number": "585-442-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 WINTON RD S",
"address_2": "BLDG 4 SUITE 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183916",
"telephone_number": "585-473-0495",
"fax_number": "585-442-0750"
}
],
"practiceLocations": [
{
"address_1": "30 Hagen Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146252658",
"country_code": "US",
"telephone_number": "585-442-5320",
"fax_number": "585-442-5526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Portland Ave Ste 445",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213022",
"country_code": "US",
"telephone_number": "585-442-5320",
"fax_number": "585-442-5526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'SULLIVAN",
"first_name": "MELISSA",
"middle_name": "J",
"credential": "N P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.