Individual provider Active NPI

Tracy Wright, NP

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1225120579
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F333914-1 Issued in NY
Practice address
2365 Clinton Ave S
Suite 200
Rochester, NY 14618-2663
Phone
(585) 758-5700
Fax
(585) 758-1299
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F333914-1 NY Primary

Addresses

Primary practice location

2365 Clinton Ave S
Suite 200
Rochester, NY 14618-2663

Mailing address

PO Box 629
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 758-5700

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
I20130710000383 NY Practitioner - Nurse Practitioner 4486894789 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333914-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Pediatrics Current Accepting new patients
Rochester General Hospital CurrentSince Feb 15, 2017 Accepting new patients
Long Pond Pediatrics Pediatrics Past Accepting new patients

Locations

2365 S Clinton Ave
Ste 200
Rochester, NY 14618
Phone (585) 275-0142

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

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

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

Interoperability endpoints

  • Direct secure messaging: wright@lpp.medentdirect.com

Organizations & group practices 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1225120579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "address_2": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-758-5700",
            "fax_number": "585-758-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CLINTON AVE S",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182663",
            "telephone_number": "585-758-5700",
            "fax_number": "585-758-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TRACY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "F333914-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.