Individual provider Active NPI

Burgundy Rose McCoy, NP

  • Family Nurse Practitioner
  • Bergen, NY
National Provider Identifier
1447826896
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348433 Issued in NY
Practice address
6966 W Bergen Rd
Bergen, NY 14416-9743
Phone
(585) 494-1300
Fax
(585) 494-1132
NPI assigned
May 27, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348433 NY Primary

Addresses

Primary practice location

6966 W Bergen Rd
Bergen, NY 14416-9743

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 494-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211006000425 NY Practitioner - Nurse Practitioner 7315345345 Reassigns benefits to 2 organizations
I20241212001747 VA Practitioner - Nurse Practitioner 7315345345 Reassigns benefits to 2 organizations
I20251106003568 DC Practitioner - Nurse Practitioner 7315345345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Curana Health of Virginia LLCGroup PAC ID 6507119690, 45 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

10900 Nuckols Rd
Suite 110
Glen Allen, VA 23060-9246
Phone (337) 991-9276

13700 Magna Way
Herndon, VA 20171-5444
Phone (337) 991-9276

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Virginia LLC CurrentSince Oct 29, 2024 Accepting new patients
Matrix Medical of New York PC CurrentSince Oct 1, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Sep 10, 2021 Accepting new patients
United Memorial Medical Center Current Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

6966 W Bergen Rd
Bergen, NY 14416
Phone (585) 494-1300

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

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

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

10900 Nuckols Rd
Ste 110
Glen Allen, VA 23060
Phone (804) 396-6392

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1447826896",
    "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": "585-494-1300",
            "fax_number": "585-494-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6966 W BERGEN RD",
            "city": "BERGEN",
            "state": "NY",
            "postal_code": "144169743",
            "telephone_number": "585-494-1300",
            "fax_number": "585-494-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "BURGUNDY",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergen, NY

Sources for this page

Verify at the official NPI Registry.