Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Landyn Rae Sprague

Individual provider Nurse Practitioner · NPI 1073260402

Landyn Rae Sprague is a Nurse Practitioner in Penfield, New York. Qualified in 2021, 5 years ago. Practices with University of Rochester, a 962-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022

Practice location Address checks out

1835 Fairport Nine Mile Point Rd
Penfield, NY 14526-1903
Phone: (585) 758-0777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 349058 (NY)

Record details

NPI number1073260402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2022
Last updated in NPPESJuly 17, 2023
Certification dateMarch 6, 2022
Mailing address1835 Fairport Nine Mile Point Rd, Penfield, NY 14526-1903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Rochester — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Penfield