Individual provider Active NPI

Anita Prasad, F.N.P.

  • Nurse Practitioner
  • Williamson, NY
National Provider Identifier
1285717181
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F3341741 Issued in NY
Practice address
4418 E. Ridge Road
Williamson, NY 14589
Phone
(315) 589-4641
Fax
(315) 589-9585
NPI assigned
Oct 23, 2006
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F3341741 NY Primary
Family Nurse Practitioner 363LF0000X 334174 NY

Addresses

Primary practice location

4418 E. Ridge Road
Williamson, NY 14589

Mailing address

4418 E. Ridge Road
Williamson, NY 14589
Phone (315) 589-4641

Other identifiers 1

IdentifierTypeStateIssuer
02629261MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aprasad137339@direct.urmc.rochester.edu Direct
Direct Messaging Address aprasad137339@direct.urmc.rochester.edu Direct

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
I20090514000524 NY Practitioner - Nurse Practitioner 1456400811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Medical GroupGroup PAC ID 6608850987, 48 clinicians

Practice addresses (Care Compare)

3669 Countryside LN
Marion, NY 14505-9781
Phone (315) 926-7733

4418 Ridge Rd
Suite 1
Williamson, NY 14589-9306
Phone (315) 589-4641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3341741NYMDNurse Practitioner
334174NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Medical Group CurrentSince May 1, 2018 Accepting new patients

Locations

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

601 Elmwood Ave
#320
Rochester, NY 14642

4418 Ridge Rd
Ste 1
Williamson, NY 14589
Phone (315) 589-4641

Interoperability endpoints

  • Direct secure messaging: aprasad137339@direct.urmc.rochester.edu

Organizations & group practices 1

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.

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1285717181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 E. RIDGE ROAD",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "14589",
            "telephone_number": "315-589-4641",
            "fax_number": "315-589-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 E. RIDGE ROAD",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "14589",
            "telephone_number": "315-589-4641",
            "fax_number": "315-589-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "ANITA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3341741",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02629261",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aprasad137339@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aprasad137339@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamson, NY

Sources for this page

Verify at the official NPI Registry.