Individual provider Active NPI

Heidi Lynn Yip, NP

  • Acute Care Nurse Practitioner
  • Victor, NY
National Provider Identifier
1952941494
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F431619-01 Issued in NY
Practice address
6536 Anthony Dr Ste C
Victor, NY 14564-1419
Phone
(585) 433-8050
Fax
(585) 492-9022
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 F431619-01 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

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
I20200422002807 NY Practitioner - Nurse Practitioner 1658701255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F431619-01NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ontario Neurology Associates Neurology CurrentSince Feb 3, 2020 Accepting new patients
Heidi Lynn Yip, NP in Acute Care PLLC Acute Care CurrentSince Apr 6, 2023 Accepting new patients
Graham Plastic Surgery PLLC CurrentSince May 21, 2023 Accepting new patients

Locations

229 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 394-3920

30 Hagen Dr
Ste 230
Rochester, NY 14625
Phone (585) 381-0140

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

Organizations & group practices 3

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1952941494",
    "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": "YIP",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431619-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.