Individual provider Active NPI

Dawn M Rugelis, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1750313581
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
331160 Issued in NY
Practice address
470 Long Pond Rd
Rochester, NY 14612-3057
Phone
(585) 227-7600
Fax
(585) 227-8322
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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 331160 NY Primary

Addresses

Primary practice location

470 Long Pond Rd
Rochester, NY 14612-3057

Mailing address

470 Long Pond Rd
Rochester, NY 14612-3057
Phone (585) 227-7600

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
I20081215000768 NY Practitioner - Nurse Practitioner 2668534348 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bariatric & Gi Surgery of the University of Rochester CurrentSince Nov 1, 2015 Accepting new patients

Locations

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

601 Elmwood Ave
#320
Rochester, NY 14642

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

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1750313581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123057",
            "telephone_number": "585-227-7600",
            "fax_number": "585-227-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123057",
            "telephone_number": "585-227-7600",
            "fax_number": "585-227-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGELIS",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "331160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.