Individual provider Active NPI

Ann Elizabeth Magnussen

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1467737163
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305891-1 Issued in NY
Practice address
435 E Henrietta Rd
Rochester, NY 14620-4629
Phone
(585) 760-5466
NPI assigned
Oct 13, 2011
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305891-1 NY Primary
Adult Health Nurse Practitioner 363LA2200X 305891 NY

Addresses

Primary practice location

435 E Henrietta Rd
Rochester, NY 14620-4629

Mailing address

435 E Henrietta Rd
Rochester, NY 14620-4629

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amagnussen43719@direct.urmc.rochester.edu Direct

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
I20111221000056 NY Practitioner - Nurse Practitioner 2860668936 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians
Urmc Memory Care ProgramGroup PAC ID 9335320829, 5 clinicians

Practice addresses (Care Compare)

315 Science Pkwy
Rochester, NY 14620-4200
Phone (585) 279-7800

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

919 Westfall Rd
Rochester, NY 14618-2628
Phone (585) 273-5454

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305891-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urmc Memory Care Program CurrentSince Jun 6, 2022 Accepting new patients
University of Rochester CurrentSince Nov 1, 2022 Accepting new patients
University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Nov 7, 2011 Accepting new patients
Highland Hospital of Rochester CurrentSince Nov 7, 2011 Accepting new patients
University of Rochester CurrentSince Nov 1, 2022 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100

315 Science Pkwy
Ste 200
Rochester, NY 14620
Phone (585) 273-5454

435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466

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

919 Westfall Rd
Ste 220
Rochester, NY 14618
Phone (585) 273-5454

919 Westfall Rd
Ste C210
Rochester, NY 14618
Phone (585) 273-5454

Interoperability endpoints

  • Direct secure messaging: amagnussen43719@direct.urmc.rochester.edu

Organizations & group practices 7

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1467737163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204629",
            "telephone_number": "585-760-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSEN",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305891-1",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amagnussen43719@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 Rochester, NY

Sources for this page

Verify at the official NPI Registry.