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JOHANNA ROSE STUMP-SIEMBOR CRPNP
NPI 1144552183
Nurse Practitioner - Pediatrics in Rochester, NY

Active since February 02, 2010PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2986(585) 275-3366 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2023, Nov 24, 2021 (2 updates tracked since 2021).

About Johanna Rose Stump-siembor Crpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA ROSE STUMP-SIEMBOR CRPNP (NPI 1144552183) is an individual pediatrics provider in Rochester, New York, licensed in New York (F382220-1) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144552183
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJOHANNA ROSE STUMP-SIEMBORCredential: CRPNP
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address300 Crittenden Blvd Box PsychRochester, NY 14642-0001 · (585) 275-2986
Phone(585) 275-2986
Fax(585) 275-3366
Sole ProprietorNo
Enumeration DateFebruary 2, 2010
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
✔ NPI 1144552183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NY · F382220-1✔ Licensed in NY · 382220✔ Licensed in MD · R187586
601 ELMWOOD AVE, Rochester, NY 14642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johanna Rose Stump-siembor Crpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Johanna Stump-siembor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Development Clinic
Same address
Developmental - Behavioral Pediatrics
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group
NPI 1346286895 (585) 275-7787

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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Johanna Stump-siembor's NPI number?

The NPI number for Johanna Stump-siembor is 1144552183. It was assigned to this individual provider in the NPPES registry on February 2, 2010.

Where is Johanna Stump-siembor located?

Johanna Stump-siembor practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2986.

What is Johanna Stump-siembor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Johanna Stump-siembor enrolled in Medicare?

Yes. Johanna Stump-siembor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johanna Stump-siembor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Stump-siembor reassigns Medicare benefits to Pediatric Development Clinic (Rochester, NY). The 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 Johanna Stump-siembor'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 Johanna Stump-siembor was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.