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

Michelle Katherine Addison

Individual provider Family Nurse Practitioner · NPI 1043820251

Michelle Katherine Addison is a Nurse Practitioner in Rochester, New York. Qualified in 2020, 6 years ago. Practices with Gastrointestinal Care of Long Island PLLC, a 169-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

20 Hagen Dr Ste 330
Rochester, NY 14625-2664
Phone: (585) 267-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 346255 (NY)

Record details

NPI number1043820251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2020
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address109 Armstrong Ave, Rochester, NY 14617-4603

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Gastrointestinal Care Of Long Island Pllc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rochester