NPIMap

Individual provider Active NPI

Mara Elizabeth Schroeder, PA-C

  • Medical Physician Assistant
  • Clifton Springs, NY
National Provider Identifier
1104483858
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
023848 Issued in NY
Practice address
2 Coulter Rd
Clifton Springs, NY 14432
Phone
(315) 462-1530
Fax
(315) 462-5483
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 023848 NY Primary

Addresses

Primary practice location

2 Coulter Rd
Clifton Springs, NY 14432

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (315) 462-1530

Other practice location 1

30680 Bainbridge Rd
Cleveland, OH 44139-2282
Phone (419) 420-5919

Other practice location 2

224 Alexander St Ste 200
Rochester, NY 14607-4000
Phone (585) 922-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002001470 NY Practitioner - Physician Assistant 4183954282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
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
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

224 Alexander St
Rochester, NY 14607-4000
Phone (585) 922-8400

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

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

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023848NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Sep 1, 2019 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Western New York Medical Practice P.C. Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Western New York Medical Practice PC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

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

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

224 Alexander St
Ste 200
Rochester, NY 14607
Phone (585) 922-8400

Interoperability endpoints

  • Direct secure messaging: mschroeder272000@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.

Hospital & facility affiliations 6

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1104483858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "315-462-1530",
            "fax_number": "315-462-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14432",
            "telephone_number": "315-462-1530",
            "fax_number": "315-462-5483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30680 Bainbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441392282",
            "country_code": "US",
            "telephone_number": "419-420-5919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Alexander St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074000",
            "country_code": "US",
            "telephone_number": "585-922-8400",
            "fax_number": "585-922-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MARA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "023848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Springs, NY

Sources for this page

Verify at the official NPI Registry.