Individual provider Active NPI

Jessica Kate Cropo, RN, BSN, PMHNP

  • Psychiatry Physician
  • Rochester, NY
National Provider Identifier
1932936549
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F405998-01 Issued in NY
Practice address
1099 Jay St
Rochester, NY 14611-1153
Phone
(585) 865-1550
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X F405998-01 NY Primary

Addresses

Primary practice location

1099 Jay St
Rochester, NY 14611-1153

Mailing address

12 Lime Rock LN
Rochester, NY 14610-3123
Phone (585) 350-9504

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
I20241022004075 NY Practitioner - Nurse Practitioner 2860924354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villa of HopeGroup PAC ID 0840580387, 6 clinicians

Practice addresses (Care Compare)

247 N Goodman St
Rochester, NY 14607-1168
Phone (585) 627-5892

3300 Dewey Ave
Rochester, NY 14616-3741
Phone 5858651550322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F405998-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villa of Hope CurrentSince Oct 7, 2024 Accepting new patients

Locations

3300 Dewey Ave
Rochester, NY 14616
Phone (585) 865-1550

247 N Goodman St
Rochester, NY 14607
Phone (585) 627-5892

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.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1932936549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LIME ROCK LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103123",
            "telephone_number": "585-350-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 JAY ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146111153",
            "telephone_number": "585-865-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROPO",
        "first_name": "JESSICA",
        "middle_name": "KATE",
        "credential": "RN, BSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "F405998-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.