Individual provider Active NPI

Karyn Felice, NP

  • Adult Health Nurse Practitioner
  • Brockport, NY
National Provider Identifier
1235221458
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
340486 Issued in NY
Practice address
170 West Ave
Brockport, NY 14420-1227
Phone
(585) 395-6052
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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 340486 NY Primary

Addresses

Primary practice location

170 West Ave
Brockport, NY 14420-1227

Mailing address

170 West Ave
Brockport, NY 14420-1227
Phone (585) 395-6052

Other identifiers 1

IdentifierTypeStateIssuer
02507573MedicaidNY

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
I20081206000013 NY Practitioner - Nurse Practitioner 2769543982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 1, 2000 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 1, 2000 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 16, 2017 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

170 West Ave
Brockport, NY 14420
Phone (585) 395-6052

4646 Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350

505 Mount Hope Ave
Rochester, NY 14620
Phone (585) 353-7678

1561 Long Pond Rd
Ste 133
Rochester, NY 14626
Phone (585) 723-7670

601 Elmwood Ave
#320
Rochester, NY 14642

105 Canal Landing Blvd
Ste 1
Rochester, NY 14626
Phone (585) 368-4050

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Organizations & group practices 5

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": "1487808000000",
    "number": "1235221458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201227",
            "telephone_number": "585-395-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201227",
            "telephone_number": "585-395-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICE",
        "first_name": "KARYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "340486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02507573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.