Individual provider Active NPI

Roxanne M Conway, FNP

  • Family Nurse Practitioner
  • Bath, NY
National Provider Identifier
1821054123
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333062 Issued in NY
Practice address
76 Veteran Avenue
Bath, NY 14810
Phone
(607) 664-4501
NPI assigned
Apr 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 333062 NY Primary

Addresses

Primary practice location

76 Veteran Avenue
Bath, NY 14810

Mailing address

1928 Stannards Rd
Wellsville, NY 14895-9740
Phone (585) 593-7216

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
I20181217000499 NY Practitioner - Nurse Practitioner 9830334515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Vestal Pkwy E
Vestal, NY 13850-1748
Phone (607) 444-6868

243 Maple Ave
Wellsville, NY 14895-1114
Phone (585) 593-7246

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosciences Healthcare Medicine, PC CurrentSince Dec 31, 2024 Accepting new patients
Neurosciences Healthcare Medicine, PC CurrentSince Dec 31, 2024 Accepting new patients

Locations

122 W Main St
Endicott, NY 13760
Phone (607) 237-4724

1020 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 444-6868

243 Maple Ave
Wellsville, NY 14895
Phone (585) 593-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEFCD

Organizations & group practices 2

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 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821054123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 STANNARDS RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959740",
            "telephone_number": "585-593-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 VETERAN AVENUE",
            "city": "BATH",
            "state": "NY",
            "postal_code": "14810",
            "telephone_number": "607-664-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ROXANNE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

Verify at the official NPI Registry.