Individual provider Active NPI

Megan Mauricio, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1033626478
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026010 Issued in NY
Practice address
300 Red Creek Dr Ste 200
Rochester, NY 14623-4283
Phone
(585) 487-2221
Fax
(585) 334-8732
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X WV
Physician Assistant 363A00000X 026010 NY Primary

Addresses

Primary practice location

300 Red Creek Dr Ste 200
Rochester, NY 14623-4283

Mailing address

300 Red Creek Dr Ste 200
Rochester, NY 14623-4283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180518002376 WV Practitioner - Physician Assistant 8325303423 Reassigns benefits to 2 organizations
I20230216001978 NY Practitioner - Physician Assistant 8325303423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

2400 Clinton S Ave F
Rochester, NY 14618-2668
Phone (585) 244-7200

2400 Clinton S Ave G
Rochester, NY 14618-2668
Phone (585) 341-7685

2400 Clinton S Ave H
Rochester, NY 14618-2668
Phone (585) 341-7143

2400 S Clinton Ave
BLDG H
Rochester, NY 14618-2668
Phone (585) 341-7200

300 Red Creek Dr
Rochester, NY 14623-4283
Phone (585) 487-2221

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians, Inc. Physician Assistant CurrentSince Mar 19, 2018 Accepting new patients
University of Rochester CurrentSince Feb 27, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
University of Rochester CurrentSince Feb 27, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University of Rochester PastSince Feb 8, 2023 Accepting new patients

Locations

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

300 Red Creek Dr
Ste 200
Rochester, NY 14623
Phone (585) 487-2221

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: mmauricio367579@direct.urmc.rochester.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1033626478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RED CREEK DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RED CREEK DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234283",
            "telephone_number": "585-487-2221",
            "fax_number": "585-334-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICIO",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.