Individual provider Active NPI

Estelle Webster

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1982195186
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403955-01 Issued in NY
Practice address
293 Eileen Dr
Rochester, NY 14616-2235
Phone
(423) 822-8651
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 696310 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403955-01 NY Primary

Addresses

Primary practice location

293 Eileen Dr
Rochester, NY 14616-2235

Mailing address

293 Eileen Dr
Rochester, NY 14616-2235
Phone (423) 822-8651

Other practice location 1

250 Lucius Gordon Dr Ste 2B
West Henrietta, NY 14586-9662
Phone (585) 471-3407

Other practice location 2

770 Grand Blvd Ste 17
Deer Park, NY 11729-5725
Phone (585) 397-7331

Other identifiers 1

IdentifierTypeStateIssuer
06345293MedicaidNY

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
I20220427001376 NY Practitioner - Nurse Practitioner 7113314873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
696310NYMDRegistered Nurse
F403955-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henrietta Psychiatric NP Care, PLLC CurrentSince Sep 28, 2023 Accepting new patients

Locations

250 Lucius Gordon Dr
Ste 2
West Henrietta, NY 14586
Phone (585) 471-3407

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1982195186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 EILEEN DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146162235",
            "telephone_number": "423-822-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 EILEEN DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146162235",
            "telephone_number": "423-822-8651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Lucius Gordon Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "West Henrietta",
            "state": "NY",
            "postal_code": "145869662",
            "country_code": "US",
            "telephone_number": "585-471-3407",
            "fax_number": "866-557-9530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Grand Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117295725",
            "country_code": "US",
            "telephone_number": "585-397-7331",
            "fax_number": "585-390-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "ESTELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "696310",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403955-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06345293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.