Individual provider Active NPI

Shirita A Beard, NP

  • Family Nurse Practitioner
  • Spencerport, NY
National Provider Identifier
1255564761
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352508 Issued in NY
Practice address
42 Nichols St Ste 14
Spencerport, NY 14559-2180
Phone
(585) 637-7558
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 606776 NY
Family Nurse Practitioner 363LF0000X 352508 NY Primary

Addresses

Primary practice location

42 Nichols St Ste 14
Spencerport, NY 14559-2180

Mailing address

601 Elmwood Ave Box 655 a
Rochester, NY 14642-0001
Phone (585) 413-1800

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
I20230926003382 NY Practitioner - Nurse Practitioner 1557715448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Rochester Urgent CareGroup PAC ID 2567772676, 63 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

1300 Jefferson Rd
Suite 100
Rochester, NY 14623-3195
Phone (585) 413-1800

3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
68.61
Promoting interoperability
100
Improvement activities
40
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
606776NYMDRegistered Nurse
352508NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Emergency Associates - University of Rochester CurrentSince Aug 28, 2023 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Aug 28, 2023 Accepting new patients
Observation Associates of the University of Rochester CurrentSince Aug 28, 2023 Accepting new patients
University of Rochester CurrentSince Aug 28, 2023 Accepting new patients
University of Rochester Urgent Care CurrentSince Aug 28, 2023 Accepting new patients

Locations

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

2134 Penfield Rd
Penfield, NY 14526
Phone (585) 276-8280

1300 Jefferson Rd
Ste 100
Rochester, NY 14623
Phone (585) 413-1800

601 Elmwood Ave
#655A
Rochester, NY 14642
Phone (585) 341-3015

3400 Monroe Ave
Rochester, NY 14618
Phone (585) 203-1055

601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555

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

42 Nichols St
Ste 14
Spencerport, NY 14559
Phone (585) 637-7558

42 Nichols St
Spencerport, NY 14559
Phone (585) 349-7094

Interoperability endpoints

  • Direct secure messaging: sbeard19510@direct.urmc.rochester.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1255564761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 655 A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-413-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NICHOLS ST STE 14",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592180",
            "telephone_number": "585-637-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "SHIRITA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "606776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.