ALISSA JEAN PROFETTA NP
NPI 1417565102
Nurse Practitioner - Family in Rochester, NY
About Alissa Jean Profetta Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISSA JEAN PROFETTA NP (NPI 1417565102) is an individual family provider in Rochester, New York, licensed in New York (F346115-01) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alissa Jean Profetta Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14607
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 Alissa Profetta's NPI number?
The NPI number for Alissa Profetta is 1417565102. It was assigned to this individual provider in the NPPES registry on July 19, 2020.
Where is Alissa Profetta located?
Alissa Profetta practices at 973 East Ave, Rochester, NY 14607. The listed phone number is (585) 244-1000.
What is Alissa Profetta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alissa Profetta enrolled in Medicare?
Yes. Alissa Profetta is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alissa Profetta was last updated on September 6, 2022. 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.
# Alissa Jean Profetta, NP · NPI 1417565102
Family physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since July 19, 2020.
## Identity
- **NPI:** 1417565102 (Entity type: Individual)
- **Enumerated:** July 19, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F346115-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 973 EAST AVE, Rochester, NY 14607-2216
- **Phone:** (585) 244-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417565102) · Data from the CMS NPPES public registry.