Active NPI
Madelene Kirsten Mancuso, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403773
- Practice address
- 1000 Elmwood Ave
Rochester, NY 14620-3042 - Phone
- (585) 271-2520
- Fax
- (585) 286-9220
- NPI assigned
- Sep 28, 2021
- Last updated
- Jun 9, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403773 | NY | Primary |
Addresses
Primary practice location
1000 Elmwood Ave
Rochester, NY 14620-3042
Mailing address
1000 Elmwood Ave
Rochester, NY 14620-3042
Phone (585) 271-2520
Other names 1
- Madelene Kirsten Weick
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Elmwood Ave
Rochester, NY 14620-3097
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403773 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes United Cerebral Palsy, Inc. | Current | Accepting new patients | |
| Rochester Rehabilitation Center, Inc | Current | Accepting new patients | |
| United Cerebral Palsy Association of the Rochester Area, Inc. | Current | Accepting new patients | |
| Rochester Rehabilitation Center | Past | Accepting new patients |
Locations
5415 N Bloomfield Rd
Canandaigua, NY 14424
Phone (585) 394-1190
731 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-6828
1000 Elmwood Ave
Ste 600
Rochester, NY 14620
Phone (585) 471-0559
1100 Elmwood Ave
Rochester, NY 14620
Phone (585) 271-0680
3399 Winton Rd S
Rochester, NY 14623
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7c4ed6b7-c140-41eb-bc5a-5ee81640f80d/
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1306901913
-
dba Happiness House
- Clinic/Center
- Canandaigua, NY
- NPI 1194835462
-
dba CP Rochester
- Clinic/Center
- Rochester, NY
- NPI 1942275821
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1194060566
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1164194221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146203042",
"telephone_number": "585-271-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146203042",
"telephone_number": "585-271-2520",
"fax_number": "585-286-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "MADELENE",
"middle_name": "KIRSTEN",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADELENE",
"last_name": "WEICK",
"middle_name": "KIRSTEN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.