Individual provider Active NPI

Samuel Estochen, NP

  • Family Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1821637224
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345033 Issued in NY
Practice address
468 S Pearl St Ste C
Canandaigua, NY 14424-1798
Phone
(585) 218-0072
Fax
(585) 412-6392
NPI assigned
Jan 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11012525 FL
Family Nurse Practitioner 363LF0000X 345033 NY Primary

Addresses

Primary practice location

468 S Pearl St Ste C
Canandaigua, NY 14424-1798

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1050 Old Camp Rd Ste 100
The Villages, FL 32162-1762
Phone (352) 674-1760

Other practice location 2

10 Hagen Dr
Rochester, NY 14625-2660
Phone (585) 295-5465

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sestochen450814@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200226000219 NY Practitioner - Nurse Practitioner 5698102945 Reassigns benefits to 1 organization
I20210629000068 FL Practitioner - Nurse Practitioner 5698102945 Reassigns benefits to 2 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
The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 674-1760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012525FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients
The Villages Health System LLC CurrentSince Aug 23, 2021 Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 1, 2020 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 7, 2025 Accepting new patients
Western New York Medical Practice P.C. Past Accepting new patients
Jennifer Gargano, M.D. Pain Management PLLC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Lake Sumter Lndg
The Villages, FL 32162

280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710

1050 Old Camp Rd
The Villages, FL 32162
Phone (352) 606-4708

1050 Old Camp Rd
Ste 100
The Villages, FL 32162
Phone (352) 674-1760

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

10 Hagen Dr
Ste 350
Rochester, NY 14625
Phone (585) 385-5555

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

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samuel.estochen.1@18324.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1821637224",
    "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",
            "fax_number": "585-922-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 S PEARL ST STE C",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241798",
            "telephone_number": "585-218-0072",
            "fax_number": "585-412-6392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Old Camp Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321621762",
            "country_code": "US",
            "telephone_number": "352-674-1760",
            "fax_number": "352-674-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Hagen Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252660",
            "country_code": "US",
            "telephone_number": "585-295-5465",
            "fax_number": "585-922-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTOCHEN",
        "first_name": "SAMUEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11012525",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sestochen450814@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "468 S Pearl St Ste C",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144241798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.