Individual provider Active NPI

Krista L. Prinzi, NP

  • Acute Care Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1861497182
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430224 Issued in NY
Practice address
2365 Clinton Ave S
Rochester, NY 14618-2663
Phone
(585) 442-5320
Fax
(585) 442-5526
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 430224 NY Primary

Addresses

Primary practice location

2365 Clinton Ave S
Rochester, NY 14618-2663

Mailing address

2365 Clinton Ave S
Rochester, NY 14618-2663
Phone (585) 442-5320

Other identifiers 1

IdentifierTypeStateIssuer
02573586MedicaidNY

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
I20050110000196 NY Practitioner - Nurse Practitioner 4981662244 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinical Group CurrentSince Nov 15, 2012 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2015 Accepting new patients

Locations

2365 S Clinton Ave
Rochester, NY 14618
Phone (585) 275-0142

995 Senator Keating Blvd
Ste 100
Rochester, NY 14618
Phone (585) 241-6600

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

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 389-6045

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Organizations & group practices 4

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1861497182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182663",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182663",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINZI",
        "first_name": "KRISTA",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02573586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.