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SEAN COLE MSN, NP, ACNPC-AG
NPI 1932556909
Nurse Practitioner - Acute Care in Rochester, NY

Active since May 19, 2016PECOS Enrolled
91.02/100
CMS Quality Rating
600 RED CREEK DR STE 200, ROCHESTER, NY 14623(585) 222-6566 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2022, Feb 4, 2021, Jul 13, 2016 and 1 more (4 updates tracked since 2016).

About Sean Cole Msn, Np, Acnpc-ag NPPES

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

SEAN COLE MSN, NP, ACNPC-AG (NPI 1932556909) is an individual acute care provider in Rochester, New York, licensed in New York (431873) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1932556909
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSEAN COLECredential: MSN, NP, ACNPC-AG
Location Address600 RED CREEK DR STE 200Rochester, NY 14623-4300
Mailing Address600 Red Creek Dr Ste 200Rochester, NY 14623-4300 · (585) 222-6566
Phone(585) 222-6566
Sole ProprietorNo
Enumeration DateMay 19, 2016
Last NPPES UpdateOctober 13, 20224 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1932556909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 431873
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 657098 (NY)
600 RED CREEK DR STE 200, Rochester, NY 14623
Open in Google Maps ↗

Secondary Practice Location 1

Location 11255 Portland Ave Uppr 3Rochester, NY 14621-2713 · Phone (585) 222-6566

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Cole Msn, Np, Acnpc-ag 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 Reassignments

8

Medicare enrollment records show Sean Cole reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Breast Cancer Surgery Of The University Of Rochester
4.2 mi
Surgical Oncology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1932357795 (585) 341-0366
Strong Obstetrics-Gynecology Group
4.2 mi
Obstetrics & Gynecology
601 ELMWOOD AVE, BOX 668
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 182 clinicians in this Medicare group
NPI 1184668311 (585) 256-3887
University Of Rochester
4.2 mi
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100
University Of Rochester Obgyn Subspecialties
4.2 mi
Obstetrics & Gynecology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 35 clinicians in this Medicare group
NPI 1205084969 (585) 758-7671
University Orthopaedic Associates Of Rochester
4.2 mi
Specialist
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 113 clinicians in this Medicare group
NPI 1346251758 (585) 275-5169
Highland Hospital Of Rochester
5.2 mi
Nephrology
1000 SOUTH AVE
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 465 clinicians in this Medicare group
NPI 1043597826 (585) 341-6895
Nicholas H. Noyes Memorial Hospital
35 mi
General Acute Care Hospital
111 CLARA BARTON ST
Dansville, NY 14437
  • Reassigned Medicare billing, New York enrollment
  • 275 clinicians in this Medicare group
NPI 1982625661 (585) 335-6001
St James Hospital
49 mi
Rural
7329 SENECA ROAD NORTH
Hornell, NY 14843
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
NPI 1013985399 (607) 247-2200

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 14623 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.

91.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.76
Improvement Activities40
Cost80.25

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIE ANN BIANCHI N.P.
Nurse Practitioner (Acute Care)
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 244-5670
ROCHESTER COLON AND RECTAL SURGEONS, PC
Colon & Rectal Surgery
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 222-6566
DR. AARON SAUL RICKLES M.D.
Colon & Rectal Surgery
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 222-6566
MRS. THERESA M. SCHWARTZ MS, FNP, ANP
Nurse Practitioner (Family)
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 222-6566
DR. BRIAN TENG M.D.
Colon & Rectal Surgery
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 222-5655
STEVEN JOHN OGNIBENE M.D.
Colon & Rectal Surgery
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 244-5670
BASTIAN DOMAJNKO MD
Colon & Rectal Surgery
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 244-5670
PATRICK SOLAN MD
Colon & Rectal Surgery
600 RED CREEK DR STE 200
ROCHESTER, NY 14623
Monroe County (585) 266-8401

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 Sean Cole's NPI number?

The NPI number for Sean Cole is 1932556909. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Sean Cole located?

Sean Cole practices at 600 Red Creek Dr Ste 200, Rochester, NY 14623. The listed phone number is (585) 222-6566.

What is Sean Cole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sean Cole enrolled in Medicare?

Yes. Sean Cole is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sean Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Cole reassigns Medicare benefits to 8 organizations: Breast Cancer Surgery Of The University Of Rochester (Rochester, NY), Strong Obstetrics-Gynecology Group (Rochester, NY), University Of Rochester (Rochester, NY), University Of Rochester Obgyn Subspecialties (Rochester, NY), University Orthopaedic Associates Of Rochester (Rochester, NY) and 3 more organizations, listed in the Medicare section above. Each 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 Sean Cole'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 Sean Cole was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.