Individual provider Active NPI

Shari M Hogan, NP

  • Pediatric Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1699834523
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
381358 Issued in NY
Practice address
4115 Lake Ave
Rochester, NY 14612-4813
Phone
(585) 324-7760
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 381358 NY Primary

Addresses

Primary practice location

4115 Lake Ave
Rochester, NY 14612-4813

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

490 Ridge Rd E
Rochester, NY 14621
Phone (585) 922-2500

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
I20170519000618 NY Practitioner - Nurse Practitioner 8123395399 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
381358NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Apr 22, 2017 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Aug 4, 2025 Accepting new patients
Rochester General Hospital CurrentSince Aug 4, 2025 Accepting new patients
University of Rochester CurrentSince Apr 22, 2017 Accepting new patients

Locations

4115 Lake Ave
Rochester, NY 14612
Phone (585) 324-9273

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

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

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

Interoperability endpoints

  • Direct secure messaging: shogan@pedsurgentcare.medentdirect.com
  • Direct secure messaging: shogan422312@direct.rochesterregional.org

Organizations & group practices 6

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1699834523",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146124813",
            "telephone_number": "585-324-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Ridge Rd E",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-922-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SHARI",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.