Individual provider Active NPI

Colleen Koper Metz, FNP

  • Family Nurse Practitioner
  • Victor, NY
National Provider Identifier
1558463455
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332613 Issued in NY
Practice address
6532 Anthony Dr Ste a
Victor, NY 14564-1422
Phone
(585) 924-2158
Fax
(585) 398-1217
NPI assigned
Sep 1, 2006
Reactivated
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F332613 NY
Family Nurse Practitioner 363LF0000X 332613 NY
Family Nurse Practitioner 363LF0000X F332613 NY Primary

Addresses

Primary practice location

6532 Anthony Dr Ste a
Victor, NY 14564-1422

Mailing address

6532 Anthony Dr Ste a
Victor, NY 14564-1422
Phone (585) 924-2158

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address metz@victorhealthassociates.medentdirect.com 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
I20040722001344 NY Practitioner - Nurse Practitioner 4486634193 Reassigns benefits to 3 organizations
Practice locations: Victor, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F332613NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Apr 24, 2017 Accepting new patients
University of Rochester CurrentSince Apr 24, 2017 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Dec 11, 2023 Accepting new patients
Emergency Physician Services of New York, P.C. Past Accepting new patients
Gates Family Medicine, LLC PastSince Aug 3, 2015 Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

167 Sullys Trl
Ste 100
Pittsford, NY 14534
Phone (585) 758-0800

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

225 S Cascade Dr
Springville, NY 14141
Phone (716) 599-1163

Interoperability endpoints

  • Direct secure messaging: metz@victorhealthassociates.medentdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1558463455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 ANTHONY DR STE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641422",
            "telephone_number": "585-924-2158",
            "fax_number": "585-398-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6532 ANTHONY DR STE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641422",
            "telephone_number": "585-924-2158",
            "fax_number": "585-398-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "COLLEEN",
        "middle_name": "KOPER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F332613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "metz@victorhealthassociates.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR DIRECT ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "6532 Anthony Dr Ste A",
            "city": "Victor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145641422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.