Individual provider Active NPI

Sara Lucisano, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1780528950
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358632 Issued in NY
Practice address
755 Jefferson Rd Ste 110
Rochester, NY 14623-3270
Phone
(585) 385-6070
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 358632 NY Primary

Addresses

Primary practice location

755 Jefferson Rd Ste 110
Rochester, NY 14623-3270

Mailing address

755 Jefferson Rd Ste 110
Rochester, NY 14623-3270

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
I20260515003394 NY Practitioner - Nurse Practitioner 2961971106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1957 N Clinton Ave
Rochester, NY 14621-1007

755 Jefferson Rd
Suite 110
Rochester, NY 14623-3233

PO Box
Suite 126
East Sandwich, MA 02537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
358632NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Insights Medical Associates PLLC Family CurrentSince Apr 8, 2026 Accepting new patients

Locations

755 Jefferson Rd
Ste 110
Rochester, NY 14623
Phone (585) 419-7948

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": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1780528950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 JEFFERSON RD STE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 JEFFERSON RD STE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233270",
            "telephone_number": "585-385-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCISANO",
        "first_name": "SARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.