Individual provider Active NPI

Kristin Noel Verrette, PA

  • Physician Assistant
  • Canandaigua, NY
National Provider Identifier
1093086936
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
229 Parrish St
Suite 100
Canandaigua, NY 14424-1791
Phone
(585) 394-1960
Fax
(585) 393-9232
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

229 Parrish St
Suite 100
Canandaigua, NY 14424-1791

Mailing address

229 Parrish St
Suite 100
Canandaigua, NY 14424-1791
Phone (585) 394-1960

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
I20120405000657 NY Practitioner - Physician Assistant 4688835341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

335 Parrish St
Canandaigua, NY 14424-1728
Phone (585) 393-2888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince May 6, 2024 Accepting new patients
FLH Medical, PC CurrentSince Oct 9, 2017 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

73 Buffalo St
Ste 100
Canandaigua, NY 14424

229 Parrish St
Ste 100
Canandaigua, NY 14424
Phone (585) 394-0116

335 Parrish St
Canandaigua, NY 14424
Phone (585) 393-2888

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: kverrette113044@direct.urmc.rochester.edu

Organizations & group practices 2

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1093086936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 100",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-394-1960",
            "fax_number": "585-393-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 100",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-394-1960",
            "fax_number": "585-393-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRETTE",
        "first_name": "KRISTIN",
        "middle_name": "NOEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.