Individual provider Active NPI

Ellen Marie Bartle, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1093984205
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333351-1 Issued in NY
Practice address
1870 Winton Rd S
BLDG. 4, Suite 1
Rochester, NY 14618-3960
Phone
(585) 473-0495
Fax
(585) 442-0750
NPI assigned
Feb 22, 2008
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 F333351-1 NY Primary

Addresses

Primary practice location

1870 Winton Rd S
BLDG. 4, Suite 1
Rochester, NY 14618-3960

Mailing address

1870 Winton Rd S
BLDG. 4, Suite 1
Rochester, NY 14618-3960
Phone (585) 473-0495

Other practice location 1

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 359-2123

Other identifiers 1

IdentifierTypeStateIssuer
02172609MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebartle181814@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
I20040909000263 NY Practitioner - Nurse Practitioner 4981670007 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333351-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Feb 23, 2016 Accepting new patients
Rochester General Hospital CurrentSince Feb 23, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Nov 12, 2018 Accepting new patients
Rochester General Hospital Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Feb 23, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Nov 12, 2018 Accepting new patients
Western New York Medical Practice PC CurrentSince Feb 23, 2016 Accepting new patients
Rochester General Hospital CurrentSince Feb 23, 2016 Accepting new patients

Locations

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

1150 State Route 5 and 20
Geneva, NY 14456
Phone (315) 759-5319

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

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

101 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 239-7300

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

1870 Winton Rd S
Ste 1
Rochester, NY 14618
Phone (585) 442-4690

Interoperability endpoints

  • Direct secure messaging: ebartle181814@direct.rochesterregional.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1093984205",
    "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": "146183960",
            "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": "146183960",
            "telephone_number": "585-473-0495",
            "fax_number": "585-442-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-359-2123",
            "fax_number": "315-359-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLE",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333351-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02172609",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebartle181814@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Driving Park Ave",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.