Individual provider Active NPI

Danielle Rachel Well, R.N., CRNP

  • Family Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1699989871
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007301 Issued in PA
Practice address
2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1078
Phone
(516) 763-1717
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP007301 PA Primary
Family Nurse Practitioner 363LF0000X 335473 NY

Addresses

Primary practice location

2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1078

Mailing address

660 Emerson St
Woodmere, NY 11598-2831
Phone (516) 569-1393

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
I20081009000258 NY Practitioner - Nurse Practitioner 6800964487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockville Dermatology, PCGroup PAC ID 1456243476, 5 clinicians

Practice addresses (Care Compare)

1717 86TH St
Brooklyn, NY 11214-2817
Phone (718) 331-3122

2000 N Village Ave
Suite 203
Rockville Centre, NY 11570-1001
Phone (516) 763-1717

Merit-based Incentive Payment System (MIPS)

Final score
99.81 of 100Reported as group
Quality
99.61
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335473NYMDFamily Nurse Practitioner
SP007301PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Jan 1, 2025 Accepting new patients
Dr Stuart R Levine Dermatology and Dermatologic Surgery PC CurrentSince Sep 9, 2010 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jan 1, 2025 Accepting new patients
Rockville Dermatology, PC CurrentSince Jul 11, 2008 Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery CurrentSince Jul 11, 2008 Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

1717 86th St
Brooklyn, NY 11214
Phone (718) 331-3122

2000 N Village Ave
Ste 203
Rockville Ctr, NY 11570
Phone (516) 763-1717

Organizations & group practices 5

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214697600000",
    "number": "1699989871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 EMERSON ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982831",
            "telephone_number": "516-569-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-763-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELL",
        "first_name": "DANIELLE",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "R.N., CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007301",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.