Individual provider Active NPI

Jana L Cooper-Slifko, NP

  • Family Nurse Practitioner
  • Clifton Springs, NY
National Provider Identifier
1558510289
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335550-1 Issued in NY
Practice address
4 Coulter Rd Ste 2605
Clifton Springs, NY 14432-1122
Phone
(315) 462-2636
Fax
(315) 462-2638
NPI assigned
Sep 18, 2008
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 F335550-1 NY Primary

Addresses

Primary practice location

4 Coulter Rd Ste 2605
Clifton Springs, NY 14432-1122

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

Other practice location 1

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (315) 359-2670

Other practice location 2

1415 Portland Ave
Mob 245
Rochester, NY 14621-3038
Phone (585) 922-4715

Other names 1

  • Jana L Cooper Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jana.Cooper-Slifko@rochesterregional.org

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
I20100803000652 NY Practitioner - Nurse Practitioner 4183757768 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27649NCMDGeneral Practice Physician
F335550-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jun 3, 2017 Accepting new patients
Rochester General Hospital CurrentSince Jul 6, 2010 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

4 Coulter Rd
Ste 2605
Clifton Springs, NY 14432
Phone (315) 462-2636

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

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

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715

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

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

2745 W Ridge Rd
Rochester, NY 14626
Phone (585) 225-5252

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

Interoperability endpoints

  • Direct secure messaging: jana.cooper-slifko@rochesterregional.org
  • Direct secure messaging: jcooper25082@direct.rochesterregional.org

Organizations & group practices 4

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1558510289",
    "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": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COULTER RD STE 2605",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-2636",
            "fax_number": "315-462-2638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562042",
            "country_code": "US",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Portland Ave",
            "address_2": "MOB 245",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213038",
            "country_code": "US",
            "telephone_number": "585-922-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER-SLIFKO",
        "first_name": "JANA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335550-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jana.Cooper-Slifko@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415 Portland Ave",
            "address_2": "MOB 245",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "COOPER",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton Springs, NY

Sources for this page

Verify at the official NPI Registry.