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

Q: 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.

Q: What is Carolyn Braddock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Braddock was last updated on July 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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Other Identifiers 4

OtherNP0405NY · Preferred Care

OtherP019330028NY · Blue Choice

Medicare UPINS51043NY

Medicare PINCC3099NY

Medicare Participation & PECOS CMS

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

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.

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.