Individual provider Active NPI

Denise Marie Giblin, RN, BSN, MSN

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1902934862
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
332427 Issued in NY
Practice address
1401 Stone Road
Suite 201
Rochester, NY 14615-1537
Phone
(585) 865-1110
Fax
(585) 865-1124
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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 332427 NY Primary

Addresses

Primary practice location

1401 Stone Road
Suite 201
Rochester, NY 14615-1537

Mailing address

1044 Lake Shore Blvd
Rochester, NY 14617-2019
Phone (585) 467-3356

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
I20090819000128 NY Practitioner - Nurse Practitioner 9234283763 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical of New York PC CurrentSince Feb 1, 2019 Accepting new patients
Greater Rochester Internal Medicine PLLC CurrentSince May 28, 2016 Accepting new patients

Locations

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

1401 Stone Rd
Ste 201
Rochester, NY 14615
Phone (585) 865-1100

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1902934862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 LAKE SHORE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146172019",
            "telephone_number": "585-467-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STONE ROAD",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151537",
            "telephone_number": "585-865-1110",
            "fax_number": "585-865-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBLIN",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.