Desarai Marie Conn, NP
Individual provider Active NPI Family Nurse Practitioner · Geneva, NY
NPI 1952009201 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1952009201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 351061 (NY)
- Practice address
- 200 North St Ste 101
Geneva, NY 14456-1561 - Phone
- (315) 787-5200
- Fax
- (315) 787-5221
- NPI assigned
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Rochester
Practice addresses (Care Compare)
167 Sullys TRL
Suite 100
Pittsford, NY 14534-4568
Phone (585) 758-0800
Hospital & facility affiliations
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230426002121 | NY | Practitioner - Nurse Practitioner | 4981069986 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current |
Accepting new patients | |
| University of Rochester | Current |
Accepting new patients | |
| University of Rochester | Current |
Accepting new patients |
Locations
200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100
167 Sullys Trl
Ste 100
Pittsford, NY 14534
Phone (585) 758-0800
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299
Interoperability endpoints
- dswisher118640@direct.urmc.rochester.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 351061 | NY | Yes |
Addresses
Primary practice location
200 North St Ste 101
Geneva, NY 14456-1561
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dconn353109@direct.rochesterregional.org | Health Information Exchange (HIE) |
Other providers in Geneva, NY
- Deborah Cole-Wenderlich
- Craig Collins
- Katharine Collins
- Michael Collins
- Jennifer Anne Colombo, Mt-BC
- Deborah A Connelly
- Taylor Conrad
- Barbara Marie Cook
- Nicholas J Cooke
- Marie-Anne Rachel Cormier
All providers in Geneva, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.