Individual provider Active NPI

Courtney Marie Preston, NP

  • Family Nurse Practitioner
  • Newark, NY
National Provider Identifier
1760081087
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345812-01 Issued in NY
Practice address
1304 Driving Park Ave
Newark, NY 14513-1059
Phone
(315) 359-2130
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 F345812-01 NY Primary

Addresses

Primary practice location

1304 Driving Park Ave
Newark, NY 14513-1059

Mailing address

1304 Driving Park Ave
Newark, NY 14513-1059
Phone (315) 359-2130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Courtney.Preston@rochesterregional.org

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
I20201130000096 NY Practitioner - Nurse Practitioner 4183035017 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal GroupGroup PAC ID 3870495781, 49 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

156 W Ave
Brockport, NY 14420-1229
Phone (585) 275-4711

158 Sawgrass Dr
Rochester, NY 14620-4648
Phone (585) 262-9150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
65.67
Promoting interoperability
100
Improvement activities
40
Cost
87.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F345812-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jun 26, 2023 Accepting new patients
Rochester General Hospital CurrentSince Nov 2, 2020 Accepting new patients
Gastrointestinal Group CurrentSince Jun 26, 2023 Accepting new patients
University of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Nov 2, 2020 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jun 26, 2023 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 17, 2023 Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 17, 2023 Accepting new patients

Locations

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

1304 Driving Park Ave
Newark, NY 14513
Phone (315) 359-2130

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

158 Sawgrass Dr
Rochester, NY 14620
Phone (585) 262-9150

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

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

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

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

Interoperability endpoints

  • Direct secure messaging: cpreston377728@direct.urmc.rochester.edu
  • Direct secure messaging: courtney.preston@rochesterregional.org

Organizations & group practices 11

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 4

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1760081087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131059",
            "telephone_number": "315-359-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131059",
            "telephone_number": "315-359-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345812-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Courtney.Preston@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1304 Driving Park Ave",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.