Individual provider Active NPI

Samantha Mariah Bennett, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1134968720
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354146 Issued in NY
Practice address
259 Monroe Ave
Rochester, NY 14607-3632
Phone
(585) 545-7200
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 354146 NY Primary

Addresses

Primary practice location

259 Monroe Ave
Rochester, NY 14607-3632

Mailing address

28 Greig St
Rochester, NY 14608-2424
Phone (585) 749-1714

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
I20250917001364 NY Practitioner - Nurse Practitioner 5496259053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trillium Health IncGroup PAC ID 9931095007, 8 clinicians

Practice addresses (Care Compare)

170 Science Pkwy
Rochester, NY 14620-4251
Phone (585) 545-7200

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
354146NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Health, Inc Current Accepting new patients
Trillium Health, Inc CurrentSince Jul 15, 2024 Accepting new patients

Locations

170 Science Pkwy
Rochester, NY 14620
Phone (585) 545-7200

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

259 Monroe Ave
Ste 100
Rochester, NY 14607
Phone (585) 210-4222

Interoperability endpoints

  • Direct secure messaging: sbennett568224@direct.urmc.rochester.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1134968720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GREIG ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082424",
            "telephone_number": "585-749-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SAMANTHA",
        "middle_name": "MARIAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.