Individual provider Active NPI

Beth A Mucci, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1538412259
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337339 Issued in NY
Practice address
360 Linden Oaks Ste 300
Rochester, NY 14625-2814
Phone
(585) 383-8830
Fax
(585) 383-8901
NPI assigned
Oct 18, 2012
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 337339 NY Primary

Addresses

Primary practice location

360 Linden Oaks Ste 300
Rochester, NY 14625-2814

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 383-8830

Other practice location 1

1561 Long Pond Rd Ste 220
Rochester, NY 14626-4135
Phone (585) 383-8830

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
I20130112000074 NY Practitioner - Nurse Practitioner 0143473645 Reassigns benefits to 4 organizations

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 Feb 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Feb 1, 2020 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 1, 2020 Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 7, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Feb 1, 2020 Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 7, 2018 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

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

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

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

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1561 Long Pond Rd
Ste 220
Rochester, NY 14626
Phone (585) 368-3506

360 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-8830

777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790

Organizations & group practices 9

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1538412259",
    "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": "585-383-8830",
            "fax_number": "585-383-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Long Pond Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264135",
            "country_code": "US",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCCI",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.