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

Olivia Rose Johnson

Individual provider Registered Nurse · NPI 1629820816

Olivia Rose Johnson is a Nurse Practitioner in Rochester, New York. Qualified in 2024, 2 years ago. Practices with GYN Oncology Group of the University of Rochester, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

125 Lattimore Rd Ste 258
Rochester, NY 14620-4155
Phone: (585) 442-8020
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354978 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 744904 (NY)

Record details

NPI number1629820816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 8, 2024
Mailing address7276 Gillis Rd, Victor, NY 14564-9541

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 Gyn Oncology Group Of The University Of Rochester — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rochester