Individual provider Active NPI

Lisa Leann Donofrio, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1154933745
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402996 Issued in NY
Practice address
100 Pinewild Dr Ste 2a
Rochester, NY 14606-4200
Phone
(585) 368-6700
Fax
(585) 368-6767
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402996 NY Primary

Addresses

Primary practice location

100 Pinewild Dr Ste 2a
Rochester, NY 14606-4200

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 368-6700

Other practice location 1

224 Alexander St
Rochester, NY 14607-4000
Phone (585) 922-7770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lisa.Donofrio@rochesterregional.org

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
I20201012000045 NY Practitioner - Nurse Practitioner 6608296793 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1387 Fairport Rd
BLDG 600 Suite 660
Fairport, NY 14450-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
402996NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Oct 1, 2020 Accepting new patients
Behavioral Health Network, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Rochester General Hospital Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Oct 1, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Oct 1, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 1, 2020 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

224 Alexander St
Rochester, NY 14607
Phone (585) 922-7770

100 Pinewild Dr
#2A
Rochester, NY 14606
Phone (585) 368-6700

Interoperability endpoints

  • Direct secure messaging: lisa.donofrio@rochesterregional.org

Organizations & group practices 8

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1154933745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-368-6700",
            "fax_number": "585-368-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINEWILD DR STE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064200",
            "telephone_number": "585-368-6700",
            "fax_number": "585-368-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Alexander St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074000",
            "country_code": "US",
            "telephone_number": "585-922-7770",
            "fax_number": "585-922-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOFRIO",
        "first_name": "LISA",
        "middle_name": "LEANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lisa.Donofrio@rochesterregional.org",
            "affiliation": "N",
            "address_1": "100 Pinewild Dr Ste 2A",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146064200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.