Individual provider Active NPI

Celeste M Phillips, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1215932546
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
302215-1 Issued in NY
Practice address
2365 Clinton Ave S
Suite 100
Rochester, NY 14618-2663
Phone
(585) 442-5320
Fax
(585) 442-5526
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 302215-1 NY Primary

Addresses

Primary practice location

2365 Clinton Ave S
Suite 100
Rochester, NY 14618-2663

Mailing address

2365 Clinton Ave S
Suite 100
Rochester, NY 14618-2663
Phone (585) 442-5320

Other identifiers 1

IdentifierTypeStateIssuer
02057376MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address celeste.phillips@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
I20040514000542 NY Practitioner - Nurse Practitioner 7719977495 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302215-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Associates of the University of Rochester CurrentSince Jun 19, 2005 Accepting new patients
Gastrointestinal Group CurrentSince Aug 22, 2011 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2015 Accepting new patients
Emergency Associates - University of Rochester CurrentSince Jun 19, 2005 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

995 Senator Keating Blvd
Ste 100
Rochester, NY 14618
Phone (585) 241-6600

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

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 389-6045

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1215932546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 CLINTON AVE S",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182663",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CLINTON AVE S",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182663",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CELESTE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "302215-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02057376",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celeste.phillips@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2365 Clinton Ave S",
            "address_2": "Suite 100",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146182663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.