Active NPI
Jacob Michael Hartman, FNP
- Family Nurse Practitioner
- Rochester, NY
National Provider Identifier
1659208460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 360226
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-0002 - Phone
- (585) 275-2100
- NPI assigned
- May 6, 2026
- Last updated
- Jun 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 360226 | NY | Primary |
| Registered Nurse | 163W00000X | 850028 | NY |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-0002
Mailing address
1282 Lehigh Station Rd Apt 2607
Henrietta, NY 14467-9258
Phone (607) 857-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 850028 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1659208460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1282 LEHIGH STATION RD APT 2607",
"city": "HENRIETTA",
"state": "NY",
"postal_code": "144679258",
"telephone_number": "607-857-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420002",
"telephone_number": "585-275-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-06",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "360226",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "850028",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.