Individual provider Active NPI

Maxine Lubkin, MSN, ANP-C

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1841215795
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
303331 Issued in NY
Practice address
800 Carter St
Rochester, NY 14621-2604
Phone
(585) 922-4136
Fax
(585) 922-5761
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303331 NY
Adult Health Nurse Practitioner 363LA2200X 303331 NY Primary

Addresses

Primary practice location

800 Carter St
Rochester, NY 14621-2604

Mailing address

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4136

Other practice location 1

1065 Senator Keating Blvd
Rochester, NY 14618-2600
Phone (585) 922-4136

Other identifiers 6

IdentifierTypeStateIssuer
01131126/RGHMedicaidNY
P019303331OtherNYBC/BS OF ROCHESTER PROVID
02699801MedicaidNY
G0187459590OtherNYEXCELLUS/HMO GROUP NUMBER
NP0826OtherNYPREFERRED CARE PROVIDER N
P019303331OtherNYEXCELLUS/HMO PROVIDER NUM

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
I20100208000709 NY Practitioner - Nurse Practitioner 9436292760 Reassigns benefits to 2 organizations

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)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303331NYMDAdult Health Nurse Practitioner
F303331NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Sep 4, 2012 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Sep 1, 2014 Accepting new patients
Rochester General Hospital CurrentSince Sep 4, 2012 Accepting new patients
Rochester General Hospital Current Accepting new patients
Greater Rochester Digestive & Liver Diseases Center Past Accepting new patients
William Y. Chey, M.D., D.SC. & Associates for Digestive and Liver Dise Past Accepting new patients

Locations

199 Parrish St
Canandaigua, NY 14424
Phone (585) 394-2520

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

1065 Senator Keating Blvd
Rochester, NY 14618
Phone (585) 256-1330

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

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

Organizations & group practices 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1841215795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-4136",
            "fax_number": "585-922-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212604",
            "telephone_number": "585-922-4136",
            "fax_number": "585-922-5761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 Senator Keating Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182600",
            "country_code": "US",
            "telephone_number": "585-922-4136",
            "fax_number": "585-922-5761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBKIN",
        "first_name": "MAXINE",
        "name_prefix": "Ms.",
        "credential": "MSN, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303331",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131126/RGH",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ROCHESTER PROVID",
            "identifier": "P019303331",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02699801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS/HMO GROUP NUMBER",
            "identifier": "G0187459590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER N",
            "identifier": "NP0826",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS/HMO PROVIDER NUM",
            "identifier": "P019303331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.