Individual provider Active NPI

Danielle Gullo

  • Family Nurse Practitioner
  • Fairport, NY
National Provider Identifier
1356707780
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352212 Issued in NY
Practice address
6687 Pittsford Palmyra Rd
Fairport, NY 14450-3403
Phone
(585) 678-8080
NPI assigned
Jan 14, 2016
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352212 NY Primary
Registered Nurse 163W00000X 674068 NY

Addresses

Primary practice location

6687 Pittsford Palmyra Rd
Fairport, NY 14450-3403

Mailing address

245 Belmeade Rd
Rochester, NY 14617-3625

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
I20240524001421 NY Practitioner - Nurse Practitioner 4082056882 Reassigns benefits to 1 organization

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
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

1867 Empire Blvd
Webster, NY 14580-1910
Phone (585) 347-3689

2232 Lyell Ave
Gates, NY 14606-5720
Phone (585) 417-4125

233 Winton Rd N
Rochester, NY 14610-1229
Phone (585) 441-3914

2760 Monroe Ave
Suite 401a
Rochester, NY 14618-4116
Phone (585) 397-3632

3648 Dewey Ave
Rochester, NY 14616-3024
Phone (585) 786-3503

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
674068NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince May 20, 2024 Accepting new patients
Pediatric and Adolescent Urgent Care of Western New York Past Accepting new patients
Gretchen Volk MD PLLC PastSince Oct 8, 2023 Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1867 Empire Blvd
Webster, NY 14580
Phone (585) 347-3689

Interoperability endpoints

  • Direct secure messaging: dgullo@pedsurgentcare.medentdirect.com

Organizations & group practices 3

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1356707780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BELMEADE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6687 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503403",
            "telephone_number": "585-678-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLO",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352212",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "674068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.