Individual provider Active NPI

Nicole Simolo, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1255003711
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348659 Issued in NY
Practice address
2365 S Clinton Ave Ste 100
Rochester, NY 14618-2663
Phone
(585) 442-5320
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348659 NY Primary

Addresses

Primary practice location

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

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 442-5320

Other practice location 1

101 Canal Landing Blvd
Rochester, NY 14626-5109
Phone (585) 293-7300

Other practice location 2

1415 Portland Ave Ste 350
Rochester, NY 14621-3043
Phone (585) 442-5320

Other practice location 3

30 Hagen Dr
Rochester, NY 14625-2658
Phone (585) 442-5320

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
I20220105002257 NY Practitioner - Nurse Practitioner 6709277585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

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

2365 Clinton S Ave
Suite 100
Rochester, NY 14618-2663
Phone (585) 389-6045

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348659NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Nov 22, 2021 Accepting new patients
Rochester General Hospital CurrentSince Nov 22, 2021 Accepting new patients
Rochester General Hospital CurrentSince Nov 22, 2021 Accepting new patients

Locations

101 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 239-7300

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

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

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 244-4771

1415 Portland Ave
Ste 350
Rochester, NY 14621
Phone (585) 426-9278

30 Hagen Dr
Rochester, NY 14625
Phone (585) 242-9450

Interoperability endpoints

  • Direct secure messaging: narsenault162021@direct.rochestergeneral.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1255003711",
    "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": "585-442-5320",
            "fax_number": "585-442-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 S CLINTON AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182663",
            "telephone_number": "585-442-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Canal Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265109",
            "country_code": "US",
            "telephone_number": "585-293-7300",
            "fax_number": "585-227-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Portland Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213043",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Hagen Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252658",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMOLO",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.