Individual provider Active NPI

Anna Elizabeth Nabozny, RN, FNP-C

  • Family Nurse Practitioner
  • Webster, NY
National Provider Identifier
1396282539
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346855 Issued in NY
Practice address
55 Barrett Dr Ste 100
Webster, NY 14580-4516
Phone
(585) 758-0750
Fax
(585) 872-0876
NPI assigned
Jan 26, 2017
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 346855 NY
Registered Nurse 163W00000X 794963 NY
Family Nurse Practitioner 363LF0000X 346855 NY Primary

Addresses

Primary practice location

55 Barrett Dr Ste 100
Webster, NY 14580-4516

Mailing address

55 Barrett Dr Ste 100
Webster, NY 14580-4516
Phone (585) 758-0750

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address anabozny249844@direct.urmc.rochester.edu Direct
Direct Messaging Address anabozny249844@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170216001799 WI Practitioner - Nurse Practitioner 6608159637 Reassigns benefits to 1 organization
I20220218001519 NY Practitioner - Nurse Practitioner 6608159637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

55 Barrett Dr
Webster, NY 14580-2927
Phone (585) 758-0750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
794963NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Centers, Inc. CurrentSince Mar 1, 2017 Accepting new patients
University of Rochester CurrentSince Feb 7, 2022 Accepting new patients
Access Community Health Centers, Inc. CurrentSince Mar 1, 2017 Accepting new patients
University of Rochester CurrentSince Feb 7, 2022 Accepting new patients
University of Rochester Hematology & Oncology Past Accepting new patients

Locations

10 S Pointe Lndg
Ste 250
Rochester, NY 14606
Phone (585) 225-5767

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

55 Barrett Dr
Webster, NY 14580
Phone (585) 758-0750

55 Barrett Dr
Ste 100
Webster, NY 14580
Phone (585) 758-0750

2202 S Park St
Madison, WI 53713
Phone (608) 443-5480

2901 W Beltline Hwy
Ste 120
Madison, WI 53713
Phone (608) 443-5500

3434 E Washington Ave
Madison, WI 53704
Phone (608) 443-5480

Organizations & group practices 5

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1396282539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BARRETT DR STE 100",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804516",
            "telephone_number": "585-758-0750",
            "fax_number": "585-872-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BARRETT DR STE 100",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804516",
            "telephone_number": "585-758-0750",
            "fax_number": "585-872-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABOZNY",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2023-07-17",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "346855",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "794963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anabozny249844@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": "anabozny249844@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 Webster, NY

Sources for this page

Verify at the official NPI Registry.