Individual provider Active NPI

Shelley A Sixt, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1083873947
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333759 Issued in NY
Practice address
1565 Long Pond Rd
Chemical Dependency
Rochester, NY 14626-4122
Phone
(585) 723-7723
Fax
(585) 723-7074
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 333759 NY Primary

Addresses

Primary practice location

1565 Long Pond Rd
Chemical Dependency
Rochester, NY 14626-4122

Mailing address

1565 Long Pond Rd
Chemical Dependency
Rochester, NY 14626-4122
Phone (585) 723-7723

Other practice location 1

100 Pinewild Dr Ste 2A
Rochester, NY 14606-4200
Phone (585) 368-6700

Other names 1

  • Shelley A Davis Former name

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
I20191009001664 NY Practitioner - Nurse Practitioner 7416288220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

16 Bank St
Batavia, NY 14020-2250
Phone (585) 343-6030

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Mar 9, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 24, 2019 Accepting new patients
Rochester General Hospital CurrentSince Mar 9, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Mar 9, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 24, 2019 Accepting new patients
United Memorial Medical Center CurrentSince Mar 9, 2025 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jun 2, 2025 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

100 Pinewild Dr
#2A
Rochester, NY 14606
Phone (585) 368-6700

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1565 Long Pond Rd
Rochester, NY 14626
Phone (585) 723-7723

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: ssixt194432@direct.rochesterregional.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1083873947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 LONG POND RD",
            "address_2": "CHEMICAL DEPENDENCY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-723-7723",
            "fax_number": "585-723-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 LONG POND RD",
            "address_2": "CHEMICAL DEPENDENCY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-723-7723",
            "fax_number": "585-723-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pinewild Dr Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146064200",
            "country_code": "US",
            "telephone_number": "585-368-6700",
            "fax_number": "585-368-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIXT",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "DAVIS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.