Individual provider Active NPI

Amy Lynne Stevens, FNP-C

  • Family Nurse Practitioner
  • Batavia, NY
National Provider Identifier
1568588929
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331075 Issued in NY
Practice address
127 North St
Batavia, NY 14020-1631
Phone
(585) 343-6030
Fax
(585) 344-7434
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 F331075 NY Primary

Addresses

Primary practice location

127 North St
Batavia, NY 14020-1631

Mailing address

6443 Byron Holley Rd
Byron, NY 14422-9518
Phone (585) 356-3354

Other names 1

  • Amy Lynne Ireland Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aireland282662@direct.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
I20040616001364 NY Practitioner - Nurse Practitioner 3274517271 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F331075NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center Current Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

33 Chandler Ave
Batavia, NY 14020
Phone (585) 343-9676

127 North St
Batavia, NY 14020
Phone (585) 267-7510

6966 W Bergen Rd
Bergen, NY 14416
Phone (585) 494-1300

Interoperability endpoints

  • Direct secure messaging: astevens@tonawandasenecafcc.medentdirect.com
  • Direct secure messaging: aireland282662@direct.rochesterregional.org

Organizations & group practices 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1568588929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 BYRON HOLLEY RD",
            "city": "BYRON",
            "state": "NY",
            "postal_code": "144229518",
            "telephone_number": "585-356-3354",
            "fax_number": "585-548-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 NORTH ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201631",
            "telephone_number": "585-343-6030",
            "fax_number": "585-344-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aireland282662@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "127 North St",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140201631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "IRELAND",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.