Individual provider Active NPI

Laura Wells-Spicer, N.P.

  • Adult Health Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1255593570
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
301159 Issued in NY
Practice address
210 N Main St
Canandaigua, NY 14424-1235
Phone
(872) 231-3162
Fax
(312) 635-0050
NPI assigned
Jun 27, 2008
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 301159 NY Primary

Addresses

Primary practice location

210 N Main St
Canandaigua, NY 14424-1235

Mailing address

PO Box 7411009
Chicago, IL 60674-3009
Phone (872) 231-3162

Other identifiers 3

IdentifierTypeStateIssuer
03007063-NWKMedicaidNY
01131126-RGHMedicaidNY
03490622MedicaidNY

Other names 1

  • Laura Wells Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121023000642 NY Practitioner - Nurse Practitioner 4981854213 Reassigns benefits to 5 organizations
I20260508001559 MA Practitioner - Nurse Practitioner 4981854213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians
Ma SNF on Call PLLCGroup PAC ID 4789160250, 13 clinicians

Practice addresses (Care Compare)

1583 E 66TH St
FL 1
Brooklyn, NY 11234-6005
Phone (646) 296-1508

168 W Central St
Natick, MA 01760-4122
Phone (508) 655-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 30, 2012 Accepting new patients
Mill Basin Medical Health PC CurrentSince Jun 19, 2024 Accepting new patients
Newark Wayne Community Hospital CurrentSince Apr 30, 2013 Accepting new patients
Rochester General Hospital CurrentSince Aug 30, 2012 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jan 1, 2016 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Wellbe New York Medical PC CurrentSince Jun 10, 2024 Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

1156 6th Ave
New York, NY 10036
Phone (312) 776-2410

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

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

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

1425 Portland Ave
#287
Rochester, NY 14621
Phone (585) 922-3662

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Organizations & group practices 8

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1255593570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743009",
            "telephone_number": "872-231-3162",
            "fax_number": "312-635-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241235",
            "telephone_number": "872-231-3162",
            "fax_number": "312-635-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS-SPICER",
        "first_name": "LAURA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "301159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03007063-NWK",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131126-RGH",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03490622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WELLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.