Active NPI
Mary Elizabeth Hossenlopp, FNP
- Adult Health Nurse Practitioner
- Rochester, NY
National Provider Identifier
1104854082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 332219
- Practice address
- 1555 Long Pond Rd
Wegman Cottages
Rochester, NY 14626-4122 - Phone
- (585) 368-4631
- Fax
- (585) 368-4635
- NPI assigned
- Jun 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 332219 | NY | Primary |
Addresses
Primary practice location
1555 Long Pond Rd
Wegman Cottages
Rochester, NY 14626-4122
Mailing address
1555 Long Pond Rd
Wegman Cottages
Rochester, NY 14626-4122
Phone (585) 368-4631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02665070 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332219 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1104854082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"address_2": "WEGMAN COTTAGES",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-368-4631",
"fax_number": "585-368-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"address_2": "WEGMAN COTTAGES",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-368-4631",
"fax_number": "585-368-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSSENLOPP",
"first_name": "MARY ELIZABETH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "332219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02665070",
"state": "NY"
}
],
"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 Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.