Active NPI
Mary Angerame, NP
- Adult Health Nurse Practitioner
- Rochester, NY
National Provider Identifier
1093886830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F300597
- Practice address
- 82 Holland St
Rochester, NY 14605-2131 - Phone
- (585) 423-5800
- Fax
- (585) 423-0739
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 300597 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F300597 | NY | Primary |
Addresses
Primary practice location
82 Holland St
Rochester, NY 14605-2131
Mailing address
82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071207000808 | NY | Practitioner - Nurse Practitioner | 4486743861 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anthony L. Jordan Health Corporation
Practice addresses (Care Compare)
82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F300597 | NY | MD | Adult Health Nurse Practitioner |
| 300597 | NY | MD | School Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony L. Jordan Health Corporation | Current | Accepting new patients | |
| Anthony L. Jordan Health Corporation | Past | Accepting new patients |
Locations
214 Lake Ave
#A
Rochester, NY 14608
Phone (585) 784-5901
82 Holland St
Rochester, NY 14605
Phone (585) 423-5800
Interoperability endpoints
- mary.angerame@jh.eclinicaldirectplus.com
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.
-
- Federally Qualified Health Center (FQHC)
- Canandaigua, NY
- NPI 1649529678
NY
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1083716088
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1013291335
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1346541414
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1437424231
-
- Federally Qualified Health Center (FQHC)
- Rochester, NY
- NPI 1497039713
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1619758968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1093886830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 HOLLAND ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052131",
"telephone_number": "585-423-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 HOLLAND ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146052131",
"telephone_number": "585-423-5800",
"fax_number": "585-423-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGERAME",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "NY",
"license": "300597",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300597",
"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 Jan 21, 2011; 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.