Individual provider Active NPI

Katlin S. Budynas, NP-C

  • Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1043986193
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F310740 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-5647
Phone
(585) 341-7851
Fax
(585) 320-1025
NPI assigned
Aug 18, 2021
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F310740 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-5647

Mailing address

601 Elmwood Ave Box 665
Rochester, NY 14642-0001
Phone (585) 341-7851

Other practice location 1

4901 Lac De Ville Blvd
Rochester, NY 14618-5647
Phone (607) 229-6998

Other names 1

  • Katlin Shippy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230317001548 NY Practitioner - Nurse Practitioner 1951775758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Rochester Orthopaedic Oncology DivisionGroup PAC ID 6002979820, 14 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 275-5321

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

601 Elmwood Ave Box
Rochester, NY 14642-0001
Phone (585) 275-5321

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310740NYMDVascular Surgery Physician
F310740NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Associates of Rochester Current Accepting new patients
University of Rochester Orthopaedic Oncology Division CurrentSince Jan 1, 2026 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Feb 1, 2023 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Feb 1, 2023 Accepting new patients

Locations

10 Miracle Mile Dr
Rochester, NY 14623
Phone (585) 272-7240

4901 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 341-9000

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

Interoperability endpoints

  • Direct secure messaging: kshippy97664@direct.urmc.rochester.edu

Organizations & group practices 5

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

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1043986193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 665",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-341-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146425647",
            "telephone_number": "585-341-7851",
            "fax_number": "585-320-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Lac De Ville Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185647",
            "country_code": "US",
            "telephone_number": "607-229-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDYNAS",
        "first_name": "KATLIN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F310740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLIN",
            "last_name": "SHIPPY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.