Individual provider Active NPI

Annmarie Flanagan, FNP

  • Family Nurse Practitioner
  • Penn Yan, NY
National Provider Identifier
1629490180
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338458 Issued in NY
Practice address
1930 Pre Emption Rd
Penn Yan, NY 14527-9641
Phone
(315) 536-0086
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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 338458 NY Primary

Addresses

Primary practice location

1930 Pre Emption Rd
Penn Yan, NY 14527-9641

Mailing address

103 Glencoe Ave
Penn Yan, NY 14527-1062
Phone (315) 536-9250

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
I20141017001849 NY Practitioner - Nurse Practitioner 5092936914 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
338458NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC CurrentSince Jan 1, 2014 Accepting new patients
FLH Medical, PC CurrentSince Jan 1, 2014 Accepting new patients
Rochester General Hospital CurrentSince Aug 31, 2020 Accepting new patients
Rochester General Hospital CurrentSince Aug 31, 2020 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

1930 Pre Emption Rd
Penn Yan, NY 14527
Phone (315) 536-0086

2365 S Clinton Ave
Ste 200
Rochester, NY 14618
Phone (585) 275-0142

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

601 Elmwood Ave
#629
Rochester, NY 14642
Phone (585) 276-5181

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1629490180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GLENCOE AVE",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271062",
            "telephone_number": "315-536-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PRE EMPTION RD",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279641",
            "telephone_number": "315-536-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "ANNMARIE",
        "name_prefix": "Prof.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

Verify at the official NPI Registry.