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

Mrs. Nicole Marie Defayette, FNP

Individual provider Nurse Practitioner · NPI 1144838400

Mrs. Nicole Marie Defayette, FNP is a Nurse Practitioner in Canandaigua, New York. Qualified in 2020, 6 years ago. Practices with University of Rochester Neurosurgery Group, a 49-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

395 W St Ste 007
Canandaigua, NY 14424
Phone: (315) 871-8712
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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 346113 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 346113 (NY)

Record details

NPI number1144838400
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 22, 2020
Last updated in NPPESJuly 3, 2023
Certification dateJuly 22, 2020

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 University Of Rochester Neurosurgery Group — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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