Individual provider Active NPI

Pauline Annette Macri, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1811272180
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309464-01 Issued in NY
Practice address
49 Yorkshire Rd
Rochester, NY 14609-4439
Phone
(585) 455-5302
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 624802-1 NY
Adult Health Nurse Practitioner 363LA2200X F309464-01 NY Primary

Addresses

Primary practice location

49 Yorkshire Rd
Rochester, NY 14609-4439

Mailing address

49 Yorkshire Rd
Rochester, NY 14609-4439
Phone (585) 455-5302

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
I20210309003077 NY Practitioner - Nurse Practitioner 6204242670 Reassigns benefits to 3 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
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians

Practice addresses (Care Compare)

10 Munson St
Le Roy, NY 14482-8933
Phone (585) 768-2561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
624802-1NYMDRegistered Nurse
309464NYMDHematology (Pathology) Physician
F309464-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concerto Care Medical Group of New York, PC CurrentSince Jul 7, 2025 Accepting new patients
New York State Medical Health Services PC CurrentSince Jan 20, 2026 Accepting new patients

Locations

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

50 Main St
Ste 10000
White Plains, NY 10606

Organizations & group practices 3

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1811272180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 YORKSHIRE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094439",
            "telephone_number": "585-455-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 YORKSHIRE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094439",
            "telephone_number": "585-455-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRI",
        "first_name": "PAULINE",
        "middle_name": "ANNETTE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "624802-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309464-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.