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

MS. Colette Johanna Modrak, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1407666761

MS. Colette Johanna Modrak, AGPCNP is a Nurse Practitioner in Rochester, New York. Qualified in 2024, 2 years ago. Practices with University Otolaryngology Associates, a 36-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

2365 S Clinton Ave
Rochester, NY 14618-2663
Phone: (585) 613-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311817 (NY)

Record details

NPI number1407666761
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedJanuary 9, 2025
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Otolaryngology Associates — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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