Individual provider Active NPI

Jeffrey Daniel Bouvy, FNP-C

  • Family Nurse Practitioner
  • Penfield, NY
National Provider Identifier
1194411512
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351753 Issued in NY
Practice address
2200 Penfield Rd
Penfield, NY 14526-1711
Phone
(585) 988-5280
Fax
(585) 988-5282
NPI assigned
Apr 18, 2023
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351753 NY Primary
Emergency Registered Nurse 163WE0003X 628629 NY

Addresses

Primary practice location

2200 Penfield Rd
Penfield, NY 14526-1711

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

3170 Chili Ave Ste T1A
Rochester, NY 14624-5452
Phone (585) 571-2025

Other practice location 2

4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 295-6760

Other practice location 3

2745 W Ridge Rd
Rochester, NY 14626-3038
Phone (585) 225-5252

Other practice location 4

1881 Monroe Ave
Rochester, NY 14618-1902
Phone (585) 613-3099

Other practice location 5

8103 Oak Orchard Rd
Batavia, NY 14020-1092
Phone (585) 815-6715

Other practice location 6

833 Canandaigua Rd
Geneva, NY 14456-2015
Phone (315) 210-1331

Other practice location 7

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 338-1200

Other practice location 8

2685 E Henrietta Rd
Henrietta, NY 14467-9370
Phone (585) 444-0058

Other practice location 9

1065 Ridge Rd
Webster, NY 14580-2952
Phone (585) 872-2273

Other practice location 10

65 Genesee St
Rochester, NY 14611
Phone (585) 368-3531

Other practice location 11

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

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
I20230616002654 NY Practitioner - Nurse Practitioner 6800254244 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

55 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3506

65 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3531

75 Genesee St
FL 2
Rochester, NY 14611-3201
Phone (585) 368-3380

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 723-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
628629NYMDEmergency Registered Nurse
351753NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Dec 29, 2025 Accepting new patients
Rochester General Hospital Family CurrentSince Dec 29, 2025 Accepting new patients
Western New York Medical Practice P.C CurrentSince Dec 29, 2025 Accepting new patients
Rochester General Hospital CurrentSince Dec 29, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 29, 2025 Accepting new patients
University of Rochester CurrentSince May 12, 2024 Accepting new patients
United Memorial Medical Center CurrentSince Dec 29, 2025 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Urgent Care CurrentSince May 12, 2024 Accepting new patients
University of Rochester Current Accepting new patients
Midtown East Medical Services, PC CurrentSince Oct 4, 2024 Accepting new patients
University of Rochester CurrentSince May 12, 2024 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

833 Canandaigua Rd
Geneva, NY 14456
Phone (315) 210-1331

2685 E Henrietta Rd
Henrietta, NY 14467
Phone (585) 444-0058

2134 Penfield Rd
Penfield, NY 14526
Phone (585) 276-8280

2200 Penfield Rd
Penfield, NY 14526
Phone (585) 377-6170

15 Fishers Rd
Ste 114
Pittsford, NY 14534
Phone (585) 376-7738

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

1300 Jefferson Rd
Ste 100
Rochester, NY 14623
Phone (585) 413-1800

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

1881 Monroe Ave
Rochester, NY 14618
Phone (585) 571-2025

2745 W Ridge Rd
Rochester, NY 14626
Phone (585) 225-5252

3170 Chili Ave
Ste T1A
Rochester, NY 14624
Phone (585) 571-2025

3400 Monroe Ave
Rochester, NY 14618
Phone (585) 203-1055

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555

65 Genesee St
Rochester, NY 14611
Phone (585) 368-3531

42 Nichols St
Spencerport, NY 14559
Phone (585) 349-7094

1065 Ridge Rd
Webster, NY 14580
Phone (585) 872-2273

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1194411512",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261711",
            "telephone_number": "585-988-5280",
            "fax_number": "585-988-5282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Chili Ave Ste T1A",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146245452",
            "country_code": "US",
            "telephone_number": "585-571-2025",
            "fax_number": "585-571-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4302 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144549449",
            "country_code": "US",
            "telephone_number": "585-295-6760",
            "fax_number": "585-243-6681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2745 W Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146263038",
            "country_code": "US",
            "telephone_number": "585-225-5252",
            "fax_number": "585-225-5256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1881 Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146181902",
            "country_code": "US",
            "telephone_number": "585-613-3099",
            "fax_number": "585-241-9483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8103 Oak Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201092",
            "country_code": "US",
            "telephone_number": "585-815-6715",
            "fax_number": "585-344-5410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Canandaigua Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562015",
            "country_code": "US",
            "telephone_number": "315-210-1331",
            "fax_number": "315-332-6264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-338-1200",
            "fax_number": "585-544-1359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2685 E Henrietta Rd",
            "address_purpose": "LOCATION",
            "city": "Henrietta",
            "state": "NY",
            "postal_code": "144679370",
            "country_code": "US",
            "telephone_number": "585-444-0058",
            "fax_number": "585-444-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802952",
            "country_code": "US",
            "telephone_number": "585-872-2273",
            "fax_number": "585-872-2275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14611",
            "country_code": "US",
            "telephone_number": "585-368-3531",
            "fax_number": "585-368-3767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420002",
            "country_code": "US",
            "telephone_number": "585-275-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUVY",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351753",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "628629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.