Individual provider Active NPI

Jenna Anne Gonillo-Davis, NP

  • Neurology Physician
  • Victor, NY
National Provider Identifier
1942680590
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
430910 Issued in NY
Practice address
6536 Anthony Dr Ste C
Victor, NY 14564-1419
Phone
(585) 433-8050
Fax
(585) 492-9022
NPI assigned
Jun 8, 2015
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 430910 NY
Neurology Physician 2084N0400X 430910 NY Primary

Addresses

Primary practice location

6536 Anthony Dr Ste C
Victor, NY 14564-1419

Mailing address

6536 Anthony Dr Ste C
Victor, NY 14564-1419
Phone (585) 433-8050

Other names 1

  • Jenna Anne Gonillo Former name

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
I20150929003237 NY Practitioner - Nurse Practitioner 7214245901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heidi Lynn Yip NP in Acute Care PLLCGroup PAC ID 1759740871, 2 clinicians

Practice addresses (Care Compare)

6536 Anthony Dr
Suite C
Victor, NY 14564-1419
Phone (585) 433-8050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
75.69
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430910NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jan 29, 2024 Accepting new patients
U of R Neurology Department Neurology CurrentSince Apr 22, 2017 Accepting new patients
Rochester General Hospital CurrentSince Jan 29, 2024 Accepting new patients
Rochester General Hospital CurrentSince Jan 29, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 17, 2024 Accepting new patients
United Memorial Medical Center CurrentSince Feb 17, 2024 Accepting new patients
University of Rochester CurrentSince Apr 22, 2017 Accepting new patients
United Memorial Medical Center CurrentSince Feb 17, 2024 Accepting new patients
Graham Plastic Surgery PLLC CurrentSince May 4, 2026 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
Heidi Lynn Yip, NP in Acute Care PLLC Acute Care CurrentSince May 4, 2026 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 17, 2024 Accepting new patients
University of Rochester CurrentSince Apr 22, 2017 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Pulmonary Disease Clinical Group CurrentSince Jun 20, 2015 Accepting new patients
United Memorial Medical Center Current Accepting new patients

Locations

127 North St
#2
Batavia, NY 14020
Phone (585) 344-5252

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

3 Handley St
Perry, NY 14530
Phone (585) 237-3227

10 Hagen Dr
Ste 10
Rochester, NY 14625
Phone (585) 241-6650

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

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

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

601 Elmwood Ave
#278984
Rochester, NY 14642
Phone (585) 275-1200

6536 Anthony Dr
Ste C
Victor, NY 14564
Phone (585) 300-4575

Interoperability endpoints

  • Direct secure messaging: jgonillo43110@direct.urmc.rochester.edu
  • Direct secure messaging: jgonillodavis386127@direct.rochesterregional.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1942680590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 ANTHONY DR STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641419",
            "telephone_number": "585-433-8050",
            "fax_number": "585-492-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 ANTHONY DR STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641419",
            "telephone_number": "585-433-8050",
            "fax_number": "585-492-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONILLO-DAVIS",
        "first_name": "JENNA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430910",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "430910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "GONILLO",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.