NATHANIEL STEARNS
NPI 1639549827
Nurse Practitioner - Family in Rochester, NY

Active since September 30, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathaniel Stearns NPPES

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

NATHANIEL STEARNS (NPI 1639549827) is an individual family provider in Rochester, New York, licensed in New York (340082) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639549827
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNATHANIEL STEARNS
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address1613 East AveRochester, NY 14610-1616 · (716) 474-0703
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 30, 2015
Last NPPES UpdateJune 28, 2023
NPI 1639549827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 340082
601 ELMWOOD AVE, Rochester, NY 14642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Stearns is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234438615
PECOS Enrollment IDI20160506000652
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.35
Promoting Interoperability100
Improvement Activities40
Cost98.55

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
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 Nathaniel Stearns's NPI number?

The NPI number for Nathaniel Stearns is 1639549827. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Nathaniel Stearns located?

Nathaniel Stearns practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2100.

What is Nathaniel Stearns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nathaniel Stearns enrolled in Medicare?

Yes. Nathaniel Stearns is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nathaniel Stearns affiliated with any hospitals?

According to CMS data, Nathaniel Stearns is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Stearns was last updated on June 28, 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.