Individual provider Active NPI

Freda B Hannafon, N.P.

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1093726440
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
331699 Issued in NY
Practice address
2410 Ridgeway Ave
Rochester, NY 14626-4114
Phone
(585) 723-3000
Fax
(585) 723-2895
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 331699 NY Primary

Addresses

Primary practice location

2410 Ridgeway Ave
Rochester, NY 14626-4114

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

360 Linden Oaks Ste 100
Rochester, NY 14625-2814
Phone (585) 723-3000

Other practice location 2

6668 Fourth Section Rd
Brockport, NY 14420-2448
Phone (585) 368-4560

Other practice location 3

2655 Ridgeway Ave Ste 220
Rochester, NY 14626-4296
Phone (585) 368-4560

Other identifiers 1

IdentifierTypeStateIssuer
1093726440MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fhannafon244276@direct.rochesterregional.org 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
I20100126000052 NY Practitioner - Nurse Practitioner 0143362459 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

2420 Ridgeway Ave
Rochester, NY 14626-4114
Phone (585) 227-4000

2655 Ridgeway Ave
Suite 220
Rochester, NY 14626-4296
Phone (585) 368-4560

360 Linden Oaks
Rochester, NY 14625-2814
Phone (585) 922-7272

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

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
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 1, 2018 Accepting new patients
Rochester General Hospital CurrentSince Oct 10, 2025 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Oct 10, 2025 Accepting new patients
Rochester General Hospital CurrentSince Oct 10, 2025 Accepting new patients

Locations

6668 4th Section Rd
Brockport, NY 14420
Phone (585) 368-6870

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

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

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

2655 Ridgeway Ave
Ste 220
Rochester, NY 14626
Phone (585) 368-4560

360 Linden Oaks
Ste 100
Rochester, NY 14625
Phone (585) 723-2845

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

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

2410 Ridgeway Ave
Rochester, NY 14626
Phone (585) 225-7150

Organizations & group practices 6

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 9

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1093726440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264114",
            "telephone_number": "585-723-3000",
            "fax_number": "585-723-2895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Linden Oaks Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252814",
            "country_code": "US",
            "telephone_number": "585-723-3000",
            "fax_number": "585-723-6877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6668 Fourth Section Rd",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144202448",
            "country_code": "US",
            "telephone_number": "585-368-4560",
            "fax_number": "585-368-4575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Ridgeway Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264296",
            "country_code": "US",
            "telephone_number": "585-368-4560",
            "fax_number": "585-368-4565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAFON",
        "first_name": "FREDA",
        "middle_name": "B",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "331699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093726440",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhannafon244276@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "2410 Ridgeway Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.