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CAROLYN R BRADDOCK NP
NPI 1669406864
Nurse Practitioner in Rochester, NY

Active since July 11, 2006PECOS Enrolled
777 CLINTON AVE S, ROCHESTER, NY 14620(585) 279-4800(585) 442-8319 Get Directions Write a Review

NPPES record last updated: July 23, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carolyn R Braddock Np NPPES

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

CAROLYN R BRADDOCK NP (NPI 1669406864) is an individual nurse practitioner in Rochester, New York, licensed in New York (330028) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669406864
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLYN R BRADDOCKCredential: NP
Location Address777 CLINTON AVE SRochester, NY 14620-1401
Mailing Address777 Clinton Ave SRochester, NY 14620-1401 · (585) 279-4800 · Fax (585) 442-8319
Phone(585) 279-4800
Fax(585) 442-8319
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 23, 2007
✔ NPI 1669406864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 330028
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
777 CLINTON AVE S, Rochester, NY 14620
Open in Google Maps ↗

Other Identifiers 4

OtherNP0405NY · Preferred Care
OtherP019330028NY · Blue Choice
Medicare UPINS51043NY
Medicare PINCC3099NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn R Braddock Np 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 Carolyn Braddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Highland Hospital Of Rochester
0.6 mi
General Acute Care Hospital
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 465 clinicians in this Medicare group
NPI 1972548568 (585) 473-2200

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 14620 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.

SOPHIA EMMANUELLE HANNA DO
Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800
MICHAEL OCKRIN FNP
Nurse Practitioner (Family)
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800
JOSEPH W LYMAN NP
Nurse Practitioner (Family)
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800
GEORGIA KYRIACOU MD
Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800
LISA GU MD
Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800
DANA BELLES FNP-BC
Nurse Practitioner (Family)
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800
DR. ATIF A CHOWDHRY MD
Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800
JOHN MICHAEL DOUGHTON M.D.
Family Medicine
777 CLINTON AVE S
ROCHESTER, NY 14620
Monroe County (585) 279-4800

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 Carolyn Braddock's NPI number?

The NPI number for Carolyn Braddock is 1669406864. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Carolyn Braddock located?

Carolyn Braddock practices at 777 Clinton Ave S, Rochester, NY 14620. The listed phone number is (585) 279-4800.

What is Carolyn Braddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carolyn Braddock enrolled in Medicare?

Yes. Carolyn Braddock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Braddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Braddock reassigns Medicare benefits to Highland Hospital Of Rochester (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 Carolyn Braddock'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 Carolyn Braddock was last updated on July 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.