Individual provider Active NPI

Lisa Anweiler, ANP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1104054428
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305124 Issued in NY
Practice address
300 Meridian Centre Blvd
Ste 320
Rochester, NY 14618-3981
Phone
(315) 794-9234
Fax
(585) 463-3105
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305124 NY Primary

Addresses

Primary practice location

300 Meridian Centre Blvd
Ste 320
Rochester, NY 14618-3981

Mailing address

19 Tennyson Cir
New Hartford, NY 13413-2233
Phone (315) 794-9234

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
I20100330001269 NY Practitioner - Nurse Practitioner 8123154044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Tree Medical Associates PLLC CurrentSince Nov 20, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lanweiler29323@mvhealthsystem.direct-ci.com

Organizations & group practices 1

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1104054428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TENNYSON CIR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132233",
            "telephone_number": "315-794-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERIDIAN CENTRE BLVD",
            "address_2": "STE 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183981",
            "telephone_number": "315-794-9234",
            "fax_number": "585-463-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWEILER",
        "first_name": "LISA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.