Individual provider Active NPI

Phillip John Noble, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Rochester, NY
National Provider Identifier
1356913594
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
696428 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-0001
Phone
(585) 275-2141
NPI assigned
Jul 16, 2021
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 696428 NY Primary
Certified Registered Nurse Anesthetist 367500000X 289834 GA

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Rochester, NY 14642-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220329002879 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507252632 Reassigns benefits to 1 organization
I20230428001143 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507252632 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew J. Siedlecki, M.D., PCGroup PAC ID 2860457025, 13 clinicians
Upstate New York Medical Professional CorporationGroup PAC ID 8022405380, 4 clinicians

Practice addresses (Care Compare)

3349 Southwestern Blvd
Orchard Park, NY 14127-1506
Phone (716) 634-8500

400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-8940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
289834GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Nov 16, 2024 Accepting new patients
Fichte-Endl & Elmer Eye Surgery, PC CurrentSince Jan 3, 2025 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
U of R Anesthesiology Group CurrentSince Aug 1, 2024 Accepting new patients
Fichte, Endl & Elmer Eye Surgery PC CurrentSince Jan 3, 2025 Accepting new patients
Andrew J. Siedlecki, M.D., PC CurrentSince Apr 1, 2024 Accepting new patients
Upstate New York Medical Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Sunrise Surgery Center LLC CurrentSince Apr 1, 2024 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Nov 23, 2024 Accepting new patients
St James Mercy Hospital Past Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients

Locations

2825 Niagara Falls Blvd
Ste 130
Buffalo, NY 14228
Phone (716) 564-2020

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

3349 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 508-0995

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

170 Maple Rd
Williamsville, NY 14221
Phone (716) 634-4050

Organizations & group practices 12

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 1

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1356913594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "PHILLIP",
        "middle_name": "JOHN",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "696428",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "289834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.