Michele Lynn Brennan-Vuocolo, ARNP
Individual provider Active NPI Family Nurse Practitioner · Sauquoit, NY
NPI 1386730877 · NPPES record last updated Feb 19, 2016
Key facts
- NPI
- 1386730877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F331154 (NY)
- Practice address
- 2888 Oneida St
Sauquoit, NY 13456-3110 - Phone
- (315) 732-0660
- Fax
- (315) 737-5220
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Memorial Hospital
Practice addresses (Care Compare)
3460 S St
Morrisville, NY 13408-9671
Phone (315) 684-3117
Hospital & facility affiliations
- Community Memorial Hospital, Inc
- Oneida Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617000038 | NY | Practitioner - Nurse Practitioner | 9436144011 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331154 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| Cardiopulmonary Associates of the Treasure Coast PA | Past | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients |
Locations
91 Perimeter Rd
Ste 100
Rome, NY 13441
Phone (315) 336-5589
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
120 Hobart St
Utica, NY 13501
Phone (315) 798-1149
117 W Main St
Waterville, NY 13480
Phone (315) 841-4178
Interoperability endpoints
- mbrennan-vuocolo@cmhhamilton.medentdirect.com
- mbrennanvuocolo37522@mvhealthsystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F331154 | NY | Yes |
Addresses
Primary practice location
2888 Oneida St
Sauquoit, NY 13456-3110
Mailing address
2888 Oneida St
Sauquoit, NY 13456-3110
Phone (315) 732-0660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01934927 | Medicaid | NY |
Other providers in Sauquoit, NY
- Christina Maria Ballard
- Susan Borchardt
- Cheryl Bunn
- Wendy Sue Candeloro
- Chad Joseph Cardillo
- Chad Joseph Cardillo
- Raelynn Christman
All providers in Sauquoit, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.