Individual provider Active NPI

Michelle L Okonieczny, FNP-BC

  • Family Nurse Practitioner
  • Albion, NY
National Provider Identifier
1306100730
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337330 Issued in NY
Practice address
301 West Ave
Albion, NY 14411-1522
Phone
(585) 637-3905
Fax
(585) 637-2375
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 337330 NY Primary

Addresses

Primary practice location

301 West Ave
Albion, NY 14411-1522

Mailing address

300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905

Other practice location 1

911 W Center St
Medina, NY 14103-1039
Phone (585) 599-6446

Other names 1

  • Ms. Michelle L Ortwein Former name

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
I20121009000645 NY Practitioner - Nurse Practitioner 2668621533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Rochester School of Medicine and Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Orchard Community Health Center, Inc.Group PAC ID 5496746927, 41 clinicians

Practice addresses (Care Compare)

300 W Ave
Brockport, NY 14420-1118
Phone (716) 637-3905

911 W Ctr St
Medina, NY 14103-1039
Phone (585) 765-2060

Hospital & facility affiliations

  • Medina Memorial Hospital Hospital, Medina, NY, CCN 331319
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc CurrentSince May 2, 2016 Accepting new patients
Oak Orchard Community Health Center Inc. CurrentSince May 2, 2016 Accepting new patients

Locations

301 West Ave
Albion, NY 14411
Phone (585) 589-5613

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

911 W Center St
Medina, NY 14103
Phone (585) 637-3905

Interoperability endpoints

  • Direct secure messaging: michelle.okonieczny@oochc.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1306100730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-637-3905",
            "fax_number": "585-637-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST AVE",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111522",
            "telephone_number": "585-637-3905",
            "fax_number": "585-637-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W Center St",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "NY",
            "postal_code": "141031039",
            "country_code": "US",
            "telephone_number": "585-599-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKONIECZNY",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ORTWEIN",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albion, NY

Sources for this page

Verify at the official NPI Registry.