Individual provider Active NPI

Maureen C Ta, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1427497247
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306484 Issued in NY
Practice address
1415 Portland Ave Ste 220
Rochester, NY 14621-3039
Phone
(585) 922-4496
Fax
(585) 922-4442
NPI assigned
Jun 14, 2013
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306484 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 220
Rochester, NY 14621-3039

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-4496

Other practice location 1

1561 Long Pond Rd Ste 216
Rochester, NY 14626-4135
Phone (585) 922-4496

Other practice location 2

20 Hagen Dr
Rochester, NY 14625-2666
Phone (585) 922-4020

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
I20140224001110 NY Practitioner - Nurse Practitioner 7618107467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Aug 1, 2015 Accepting new patients
Rochester General Hospital CurrentSince Dec 6, 2013 Accepting new patients
Rochester General Hospital CurrentSince Dec 6, 2013 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 25, 2022 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 220
Rochester, NY 14621
Phone (585) 922-4496

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1561 Long Pond Rd
Ste 216
Rochester, NY 14626
Phone (585) 368-4050

20 Hagen Dr
Rochester, NY 14625
Phone 5859224020 ext. 25822

3101 W Ridge Rd
Bldg D
Rochester, NY 14626
Phone (585) 225-1580

1682 Empire Blvd
Webster, NY 14580
Phone (585) 671-6790

Interoperability endpoints

  • Direct secure messaging: mta118184@direct.rochesterregional.org

Organizations & group practices 6

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1427497247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-4496",
            "fax_number": "585-922-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213039",
            "telephone_number": "585-922-4496",
            "fax_number": "585-922-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Long Pond Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264135",
            "country_code": "US",
            "telephone_number": "585-922-4496",
            "fax_number": "585-922-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hagen Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252666",
            "country_code": "US",
            "telephone_number": "585-922-4020",
            "fax_number": "585-922-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TA",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.