Individual provider Active NPI

Shannon Bartlett, NP

  • Adult Health Nurse Practitioner
  • Batavia, NY
National Provider Identifier
1861154825
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310447 Issued in NY
Practice address
229 Summit St Ste 10
Batavia, NY 14020-1645
Phone
(585) 344-4800
Fax
(585) 344-5469
NPI assigned
Oct 7, 2021
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310447 NY Primary

Addresses

Primary practice location

229 Summit St Ste 10
Batavia, NY 14020-1645

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1970

Other practice location 1

2701 Culver Rd
Rochester, NY 14622-2876
Phone (585) 922-4173

Other practice location 2

300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbartlett452561@direct.rochesterregional.org Direct

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
I20220321001541 NY Practitioner - Nurse Practitioner 7416342944

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

860 Main Rd
Corfu, NY 14036-9753
Phone (585) 637-3905

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc CurrentSince Dec 6, 2021 Accepting new patients
Oak Orchard Community Health Center Inc. CurrentSince Dec 6, 2021 Accepting new patients

Locations

300 West Ave
Brockport, NY 14420
Phone (585) 637-3905

Interoperability endpoints

  • Direct secure messaging: shannon.bartlett@oochc.eclinicaldirectplus.com

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 5

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1861154825",
    "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",
            "telephone_number": "585-922-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SUMMIT ST STE 10",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201645",
            "telephone_number": "585-344-4800",
            "fax_number": "585-344-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Culver Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146222876",
            "country_code": "US",
            "telephone_number": "585-922-4173",
            "fax_number": "585-922-5595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 West Ave",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144201118",
            "country_code": "US",
            "telephone_number": "585-637-3905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbartlett452561@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "229 Summit St Ste 10",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140201645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.