Individual provider Active NPI

Jennifer Marie Chesebro, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1144594995
Registry record updated Feb 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F-332649-1 Issued in NY
Practice address
1600 Lyell Ave
Suite C
Rochester, NY 14606-2324
Phone
(585) 723-3891
Fax
(585) 225-0701
NPI assigned
Feb 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2012

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 F-332649-1 NY Primary

Addresses

Primary practice location

1600 Lyell Ave
Suite C
Rochester, NY 14606-2324

Mailing address

84 Cross Gates Rd
Rochester, NY 14606-3330
Phone (585) 426-3851

Other identifiers 1

IdentifierTypeStateIssuer
P11662OtherNYUPIN

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F-332649-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
K V Sawant, MD, PLLC Past Accepting new patients

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": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330128000000",
    "number": "1144594995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CROSS GATES RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063330",
            "telephone_number": "585-426-3851",
            "fax_number": "585-225-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LYELL AVE",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146062324",
            "telephone_number": "585-723-3891",
            "fax_number": "585-225-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESEBRO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-25",
        "last_updated": "2012-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F-332649-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P11662",
            "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 Feb 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.