Individual provider Active NPI

Erin Jean Mahoney, FNP

  • Family Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1730431016
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337403-1 Issued in NY
Practice address
23 North Street
Suite 5
Canandaigua, NY 14424-1208
Phone
(585) 394-8170
Fax
(585) 348-2020
NPI assigned
Oct 10, 2012
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 337403 NY
Family Nurse Practitioner 363LF0000X F337403-1 NY Primary

Addresses

Primary practice location

23 North Street
Suite 5
Canandaigua, NY 14424-1208

Mailing address

23 North Street
Suite 5
Canandaigua, NY 14424-1208
Phone (585) 394-8170

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address emahoney94435@direct.urmc.rochester.edu Direct
Direct Messaging Address emahoney94435@direct.urmc.rochester.edu Direct

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
I20121031000534 NY Practitioner - Nurse Practitioner 8921258724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23 N St
Suite 5
Canandaigua, NY 14424-1053
Phone (585) 394-8170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337403NYMDFamily Nurse Practitioner
F337403-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Community Health Current Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Feb 23, 2016 Accepting new patients
Finger Lakes Community Health CurrentSince Aug 7, 2013 Accepting new patients
Finger Lakes Community Health CurrentSince Aug 7, 2013 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Feb 23, 2016 Accepting new patients
Western New York Medical Practice P.C. Past Accepting new patients

Locations

23 North St
Ste 5
Canandaigua, NY 14424
Phone (585) 394-3920

73 Buffalo St
Ste 100
Canandaigua, NY 14424

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: emahoney94435@direct.urmc.rochester.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1730431016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTH STREET",
            "address_2": "SUITE 5",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241208",
            "telephone_number": "585-394-8170",
            "fax_number": "585-348-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH STREET",
            "address_2": "SUITE 5",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241208",
            "telephone_number": "585-394-8170",
            "fax_number": "585-348-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ERIN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emahoney94435@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emahoney94435@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.