Active NPI
Katelynn Ann Coffey, NP
- Adult Health Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307332
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04194496 | Medicaid | NY |
Other names 1
- Katelynn Ann Clark
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2350 Ridgeway Ave
Rochester, NY 14626-4127
Phone (585) 225-0410
Hospital & facility affiliations
- Rochester General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307332 | NY | MD | Licensed Practical Nurse |
| F307332 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | 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
- katelynn.coffee@rochesterregional.org
- 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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.