Individual provider Active NPI

Elizabeth M Nagle, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1215268909
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
013823 Issued in NY
Practice address
360 Linden Oaks Dr
Suite 220
Rochester, NY 14625
Phone
(585) 244-3510
Fax
(585) 244-3517
NPI assigned
Jan 20, 2010
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 013823 NY Primary

Addresses

Primary practice location

360 Linden Oaks Dr
Suite 220
Rochester, NY 14625

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 244-3510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.nagle@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
I20101022000602 NY Practitioner - Physician Assistant 5395938393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside ENT and Allergy LLCGroup PAC ID 3577556190, 9 clinicians

Practice addresses (Care Compare)

229 Parrish St
Suite 250
Canandaigua, NY 14424-1791
Phone (585) 394-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013823NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince May 3, 2021 Accepting new patients
Rochester General Hospital CurrentSince Oct 9, 2013 Accepting new patients
Lakeside ENT & Allergy LLC. CurrentSince Jul 25, 2025 Accepting new patients
Rochester General Hospital CurrentSince Oct 9, 2013 Accepting new patients
Lakeside Balance and Wellness, LLC PastSince Jul 25, 2025 Accepting new patients

Locations

229 Parrish St
Ste 250
Canandaigua, NY 14424
Phone (585) 394-8800

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

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

360 Linden Oaks
Ste 220
Rochester, NY 14625
Phone (585) 244-3510

Interoperability endpoints

  • Direct secure messaging: elizabeth.nagle.1@20310.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20310/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1215268909",
    "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": "585-244-3510",
            "fax_number": "585-244-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS DR",
            "address_2": "SUITE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "585-244-3510",
            "fax_number": "585-244-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.nagle@rochesterregional.org",
            "affiliation": "N",
            "address_1": "360 Linden Oaks Dr",
            "address_2": "Suite 220",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.