LISA MARIE MASTROSIMONE NP
NPI 1124696067
Nurse Practitioner - Family in Rochester, NY
About Lisa Marie Mastrosimone Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE MASTROSIMONE NP (NPI 1124696067) is an individual family provider in Rochester, New York, licensed in New York (347808) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Marie Mastrosimone Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Mastrosimone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 182 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Mastrosimone's NPI number?
The NPI number for Lisa Mastrosimone is 1124696067. It was assigned to this individual provider in the NPPES registry on June 16, 2021.
Where is Lisa Mastrosimone located?
Lisa Mastrosimone practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-7424.
What is Lisa Mastrosimone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Mastrosimone enrolled in Medicare?
Yes. Lisa Mastrosimone is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Mastrosimone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mastrosimone reassigns Medicare benefits to 2 organizations: Strong Obstetrics-Gynecology Group (Rochester, NY) and University Of Rochester (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Mastrosimone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Mastrosimone was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Marie Mastrosimone, NP · NPI 1124696067
Family physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since June 16, 2021.
## Identity
- **NPI:** 1124696067 (Entity type: Individual)
- **Enumerated:** June 16, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 347808 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 275-7424
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Strong Obstetrics-Gynecology Group (NPI 1184668311, Rochester, NY); University Of Rochester (NPI 1346285657, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124696067) · Data from the CMS NPPES public registry.