Individual provider Active NPI

Abigail L Donnelly, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1417618190
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348969 Issued in NY
Practice address
601 Elmwood Ave Box 697
Rochester, NY 14642-3312
Phone
(773) 751-1860
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 209030207 IL
Family Nurse Practitioner 363LF0000X 348969 NY Primary

Addresses

Primary practice location

601 Elmwood Ave Box 697
Rochester, NY 14642-3312

Mailing address

601 Elmwood Ave Box 697
Rochester, NY 14642-0001
Phone (585) 275-7546

Other names 1

  • Abigail L Peck 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
I20220712001974 NY Practitioner - Nurse Practitioner 8820484736 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dermatology AssociatesGroup PAC ID 5698736460, 26 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

40 Celebration Dr
Rochester, NY 14620-2664
Phone (585) 275-7546

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209030207ILMDFamily Nurse Practitioner
348969NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince Feb 13, 2023 Accepting new patients
William F Ryan Community Health Center Inc Current Accepting new patients
University of Rochester CurrentSince Jun 15, 2025 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jun 15, 2025 Accepting new patients
University Dermatology Associates CurrentSince Jun 2, 2025 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University Dermatology Associates CurrentSince Jun 2, 2025 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Mar 16, 2022 Accepting new patients
William F. Ryan Community Health Center Inc CurrentSince Mar 16, 2022 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals CurrentSince Feb 13, 2023 Accepting new patients
Tapestry 360 Health PastSince Sep 1, 2024 Accepting new patients
Tapestry 360 Health PastSince Sep 1, 2024 Accepting new patients

Locations

80 West Ave
Ste 205
Brockport, NY 14420
Phone (585) 275-7546

1430 Broadway
Rm 546
Long Island City, NY 11106

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

601 Elmwood Ave
#697
Rochester, NY 14642
Phone (585) 273-4412

40 Celebration Dr
Rochester, NY 14620
Phone (585) 275-0193

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

Interoperability endpoints

  • Direct secure messaging: adonnelly573150@direct.urmc.rochester.edu

Organizations & group practices 15

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.

View all 15

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": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1417618190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 697",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 697",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146423312",
            "telephone_number": "773-751-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "ABIGAIL",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030207",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "PECK",
            "middle_name": "L",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.