NPIMap

Individual provider Active NPI

Maria Elizabeth Petrella-Goodwin, NP

  • Acute Care Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1508759788
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
433318 Issued in NY
Practice address
2655 Ridgeway Ave Ste 420
Rochester, NY 14626-4296
Phone
(585) 723-7972
Fax
(585) 368-3119
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 433318 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave Ste 420
Rochester, NY 14626-4296

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1425 Portland Ave Lbby Level
Rochester, NY 14621-3011
Phone (585) 922-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpetrella205027@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030000662 NY Practitioner - Nurse Practitioner 5799274700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

2655 Ridgeway Ave
Suite 480
Rochester, NY 14626-4296
Phone (585) 865-8210

Hospital & facility affiliations

  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
433318NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jun 1, 2025 Accepting new patients
Rochester General Hospital CurrentSince Sep 2, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 2, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital PastSince Jun 1, 2025 Accepting new patients

Locations

2655 Ridgeway Ave
Ste 420
Rochester, NY 14626
Phone (585) 723-7705

1425 Portland Ave
Lbby
Rochester, NY 14621
Phone (585) 922-4111

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

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

2655 Ridgeway Ave
Ste 480
Rochester, NY 14626
Phone (585) 865-8210

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1508759788",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE STE 420",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-723-7972",
            "fax_number": "585-368-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave Lbby Level",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRELLA-GOODWIN",
        "first_name": "MARIA",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "433318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpetrella205027@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2655 Ridgeway Ave Ste 420",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.