NPIMap

Individual provider Active NPI

Caitlyn Elizabeth Koenig, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1568015691
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344721 Issued in NY
Practice address
100 White Spruce Blvd
Rochester, NY 14623-1507
Phone
(585) 272-0700
Fax
(585) 272-8340
NPI assigned
Jul 17, 2019
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 344721 NY Primary

Addresses

Primary practice location

100 White Spruce Blvd
Rochester, NY 14623-1507

Mailing address

100 White Spruce Blvd
Rochester, NY 14623-1507
Phone (585) 272-0700

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
I20191024001074 NY Practitioner - Nurse Practitioner 3173855194 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Rochester School of Medicine and Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
68.61
Promoting interoperability
100
Improvement activities
40
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344721NYMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Group CurrentSince May 1, 2022 Accepting new patients
Dermatology Associates of Rochester, PC CurrentSince Jun 22, 2026 Accepting new patients
Emergency Associates - University of Rochester CurrentSince Aug 26, 2019 Accepting new patients
Observation Associates of the University of Rochester CurrentSince Aug 26, 2019 Accepting new patients
University of Rochester CurrentSince Aug 26, 2019 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Urgent Care CurrentSince Aug 26, 2019 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Aug 26, 2019 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients

Locations

3400 Monroe Ave
Rochester, NY 14618
Phone (585) 203-1055

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

Interoperability endpoints

  • Direct secure messaging: cdecicco94899@direct.urmc.rochester.edu

Organizations & group practices 10

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1568015691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231507",
            "telephone_number": "585-272-0700",
            "fax_number": "585-272-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231507",
            "telephone_number": "585-272-0700",
            "fax_number": "585-272-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "CAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.