Individual provider Active NPI

Olivia Grace Iacobelli, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1851245534
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F358559-01 Issued in NY
Practice address
300 White Spruce Blvd Ste 100
Rochester, NY 14623-1606
Phone
(585) 424-5440
Fax
(585) 427-2712
NPI assigned
Feb 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 F358559-01 NY Primary

Addresses

Primary practice location

300 White Spruce Blvd Ste 100
Rochester, NY 14623-1606

Mailing address

45 Winding Country LN
Spencerport, NY 14559-1601

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
I20260525000237 NY Practitioner - Nurse Practitioner 6507336179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
May accept Medicare assignment
Group practices
Internal Medicine of Brighton, PLLCGroup PAC ID 8628448370, 8 clinicians

Practice addresses (Care Compare)

300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606
Phone (585) 424-5440

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F358559-01NYMDFamily Nurse Practitioner

Organizations & group practices 1

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.

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": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1851245534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WINDING COUNTRY LN",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WHITE SPRUCE BLVD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231606",
            "telephone_number": "585-424-5440",
            "fax_number": "585-427-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOBELLI",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F358559-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.