Individual provider Active NPI

Amy M Sisley, FNP

  • Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1134319064
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
335280 Issued in NY
Practice address
300 Meridian Centre Blvd Ste 320
Rochester, NY 14618-3984
Phone
(716) 393-1968
NPI assigned
Jul 26, 2007
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 335280 NY Primary

Addresses

Primary practice location

300 Meridian Centre Blvd Ste 320
Rochester, NY 14618-3984

Mailing address

300 Meridian Centre Blvd Ste 320
Rochester, NY 14618-3984
Phone (716) 393-1968

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
I20080108000511 NY Practitioner - Nurse Practitioner 2062592686 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shanthi Rajendran Physician PC CurrentSince Jun 18, 2023 Accepting new patients
Kenmore Mercy Hospital CurrentSince Dec 11, 2017 Accepting new patients
Kenmore Mercy Hospital CurrentSince Dec 11, 2017 Accepting new patients
Wny Medical PC Nurse Practitioner PastSince Nov 1, 2016 Accepting new patients
Xlhome Northeast, P.C. Nurse Practitioner PastSince Mar 24, 2024 Accepting new patients

Locations

16 Main St
Akron, NY 14001
Phone (716) 542-9300

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2914 Elmwood Ave
Kenmore, NY 14217
Phone (716) 447-6310

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

Organizations & group practices 5

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1134319064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERIDIAN CENTRE BLVD STE 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183984",
            "telephone_number": "716-393-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERIDIAN CENTRE BLVD STE 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183984",
            "telephone_number": "716-393-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISLEY",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "335280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.