Individual provider Active NPI

Natalie A Davidson, ACNP

  • Acute Care Nurse Practitioner
  • Newark, NY
National Provider Identifier
1578113189
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431620 Issued in NY
Practice address
1200 Driving Park Ave
Newark, NY 14513
Phone
(315) 359-2123
Fax
(315) 359-2167
NPI assigned
Sep 16, 2019
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F431620-01 NY
Acute Care Nurse Practitioner 363LA2100X 431620 NY Primary

Addresses

Primary practice location

1200 Driving Park Ave
Newark, NY 14513

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (315) 359-2123

Other practice location 1

908 Long Pond Rd
Greece, NY 14626-1107
Phone (770) 875-6188

Other practice location 2

908 Long Pond Rd
Greece, NY 14626-1107
Phone (770) 875-6188

Other practice location 3

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-9561

Other practice location 4

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-5067

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Rochester Health Information Exchange (HIE)
Direct Messaging Address Natalie.Davidson@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191030000953 NY Practitioner - Nurse Practitioner 4587996285 Reassigns benefits to 7 organizations
I20230127000374 WI Practitioner - Nurse Practitioner 4587996285 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
431620NYMDAcute Care Nurse Practitioner
F431620-01NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Feb 10, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 26, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 26, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 10, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 26, 2023 Accepting new patients
Rochester General Hospital CurrentSince Nov 11, 2019 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 26, 2023 Accepting new patients
MVHS Inc CurrentSince Jan 8, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 26, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 26, 2023 Accepting new patients
Newark Wayne Community Hospital CurrentSince Nov 11, 2019 Accepting new patients
Rochester General Hospital CurrentSince Nov 11, 2019 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 11, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 7, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 26, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 26, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 7, 2020 Accepting new patients
Newark Wayne Community Hospital CurrentSince Nov 11, 2019 Accepting new patients
MVHS Inc CurrentSince Jan 8, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 26, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 26, 2023 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

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

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

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

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2215 Genesee St
Utica, NY 13501
Phone (315) 624-6099

130 North St
Walton, NY 13856
Phone (607) 865-6541

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: natalie.davidson@rochesterregional.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1578113189",
    "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": "315-359-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "14513",
            "telephone_number": "315-359-2123",
            "fax_number": "315-359-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Greece",
            "state": "NY",
            "postal_code": "146261107",
            "country_code": "US",
            "telephone_number": "770-875-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Greece",
            "state": "NY",
            "postal_code": "146261107",
            "country_code": "US",
            "telephone_number": "770-875-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-9561",
            "fax_number": "315-462-2938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-5067",
            "fax_number": "585-922-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "NATALIE",
        "middle_name": "A",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431620-01",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rochester",
            "affiliation": "N",
            "endpointDescription": "Hospital Designated Email and Computer/Workspace",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "908 Long Pond Rd",
            "city": "Greece",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146261107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Natalie.Davidson@rochesterregional.org",
            "affiliation": "N",
            "address_1": "908 Long Pond Rd",
            "city": "Greece",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146261107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.