Amy Lynn Gottermeier, FNP
Nurse Practitioner, Family in Rochester, NY. Individual provider (NPI-1).
NPI number1770079477
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1770079477
- Entity type
- Individual (NPI-1)
- Name
- Amy Lynn Gottermeier
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2018
- Last updated
- Jun 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F343105-1 | NY | Yes |
| 363LF0000X | Nurse Practitioner, Family | 343105 | NY |
Other names
- Amy Lynn Casamento (Former Name)
Practice location
777 Clinton Ave SRochester, NY 14620-1448
Phone 585-279-4810
Mailing address
1360 Ridgeway AveRochester, NY 14615-3716
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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