Individual provider Active NPI

Jacqueline M. Habermacher, FNP-C

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1568880185
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338627 Issued in NY
Practice address
1425 Portland Ave
Wilson BLDG
Rochester, NY 14621-2064
Phone
(585) 338-1400
Fax
(585) 339-9442
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 F338627 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Wilson BLDG
Rochester, NY 14621-2064

Mailing address

800 Carter St
Rochester, NY 14621-2604
Phone (585) 338-1400

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
I20150107001607 NY Practitioner - Nurse Practitioner 6901129501 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
338627NYMDAnesthesiology Physician
F338627NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Family CurrentSince Jan 1, 2018 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 21, 2014 Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2018 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2018 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Rochester General Hospital Current Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 21, 2014 Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 1, 2020 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

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

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

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

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

Interoperability endpoints

  • Direct secure messaging: jhabermacher225079@direct.rochesterregional.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1568880185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212604",
            "telephone_number": "585-338-1400",
            "fax_number": "585-339-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "address_2": "WILSON BLDG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212064",
            "telephone_number": "585-338-1400",
            "fax_number": "585-339-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMACHER",
        "first_name": "JACQUELINE",
        "middle_name": "M.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.