Individual provider Active NPI

Nicole Elizabeth Yates

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1801427869
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309524 Issued in NY
Practice address
105 Canal Landing Blvd
Rochester, NY 14626-5107
Phone
(585) 368-4050
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 309524 NY Primary

Addresses

Primary practice location

105 Canal Landing Blvd
Rochester, NY 14626-5107

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

601 Elmwood Avenue
Rochester, NY 14642
Phone (585) 275-5823

Other names 1

  • Nicole Elizabeth Yates Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nyates88139@direct.urmc.rochester.edu Direct
Direct Messaging Address nyates88139@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
I20210315001559 NY Practitioner - Nurse Practitioner 8022424142 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology Clinical GroupGroup PAC ID 4486618576, 80 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-6687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309524NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Dec 26, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 26, 2024 Accepting new patients
Hematology Clinical Group CurrentSince Jan 1, 2021 Accepting new patients
Rochester General Hospital CurrentSince Dec 26, 2024 Accepting new patients
Rochester General Hospital Current Accepting new patients
University of Rochester CurrentSince Jan 1, 2021 Accepting new patients
University of Rochester CurrentSince Jan 1, 2021 Accepting new patients
Rochester General Hospital CurrentSince Dec 26, 2024 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

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

105 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 368-4050

601 Elmwood Ave
#610
Rochester, NY 14642
Phone (585) 275-2881

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

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

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1801427869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CANAL LANDING BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265107",
            "telephone_number": "585-368-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Avenue",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14642",
            "country_code": "US",
            "telephone_number": "585-275-5823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nyates88139@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": "nyates88139@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": [
        {
            "first_name": "NICOLE",
            "last_name": "YATES",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.