Individual provider Active NPI

Katelynn Ann Coffey, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1093197857
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307332 Issued in NY
Practice address
2350 Ridgeway Ave Ste B
Rochester, NY 14626-4127
Phone
(585) 922-0900
Fax
(585) 225-1921
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307332 NY Primary

Addresses

Primary practice location

2350 Ridgeway Ave Ste B
Rochester, NY 14626-4127

Mailing address

1561 Long Pond Rd
Suite 202
Rochester, NY 14626-4117
Phone (585) 723-7778

Other practice location 1

1561 Long Pond Rd
Suite 202
Rochester, NY 14626-4117
Phone (585) 723-7778

Other identifiers 1

IdentifierTypeStateIssuer
04194496MedicaidNY

Other names 1

  • Katelynn Ann Clark Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Katelynn.coffee@rochesterregional.org

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
I20150826000020 NY Practitioner - Nurse Practitioner 7911213608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

2350 Ridgeway Ave
Rochester, NY 14626-4127
Phone (585) 225-0410

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307332NYMDLicensed Practical Nurse
F307332NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Oct 1, 2017 Accepting new patients
Rochester General Hospital CurrentSince Oct 1, 2017 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 24, 2015 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Feb 11, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 24, 2015 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

2350 Ridgeway Ave
Rochester, NY 14626
Phone (585) 225-0410

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1561 Long Pond Rd
Ste 202
Rochester, NY 14626
Phone (585) 723-7778

2350 Ridgeway Ave
Ste B
Rochester, NY 14626
Phone (585) 225-0950

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: katelynn.coffee@rochesterregional.org
  • Direct secure messaging: kclark197756@direct.rochesterregional.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1093197857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-723-7778",
            "fax_number": "585-723-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 RIDGEWAY AVE STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264127",
            "telephone_number": "585-922-0900",
            "fax_number": "585-225-1921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Long Pond Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264117",
            "country_code": "US",
            "telephone_number": "585-723-7778",
            "fax_number": "585-723-7925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "KATELYNN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04194496",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katelynn.coffee@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1561 Long Pond Rd",
            "address_2": "Suite 202",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "CLARK",
            "middle_name": "ANN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.