Individual provider Active NPI

Nancy W O'Rourke, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1780642686
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3336381 Issued in NY
Practice address
1724 E Ridge Rd
Rochester, NY 14622-2157
Phone
(585) 467-7007
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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 F3336381 NY Primary

Addresses

Primary practice location

1724 E Ridge Rd
Rochester, NY 14622-2157

Mailing address

1724 E Ridge Rd
Rochester, NY 14622-2157
Phone (585) 467-7007

Other identifiers 1

IdentifierTypeStateIssuer
02922374MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000772 NY Practitioner - Nurse Practitioner 0446274716 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3336381NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flaherty Family Medicine PLLC CurrentSince Jun 1, 2014 Accepting new patients

Locations

1724 E Ridge Rd
Rochester, NY 14622
Phone (585) 467-3232

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1780642686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-467-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-467-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "NANCY",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3336381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02922374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.