Active NPI
Abby McIlwaine, PA-C
- Physician Assistant
- Canandaigua, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 031991
- Practice address
- 699 S Main St Ste 3
Canandaigua, NY 14424-2208 - Phone
- (585) 602-4500
- NPI assigned
- Jul 8, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 031991 | NY | Primary |
Addresses
Primary practice location
699 S Main St Ste 3
Canandaigua, NY 14424-2208
Mailing address
699 S Main St Ste 3
Canandaigua, NY 14424-2208
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
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 275-5321
601 Elmwood Ave
Rochester, NY 14642-0001
601 Elmwood Ave Box
Rochester, NY 14642-0001
Phone (585) 275-5321
699 S Main St
Suite 3
Canandaigua, NY 14424-2208
Phone (585) 275-5321
Hospital & facility affiliations
- F F Thompson Hospital
- Strong Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopaedic Associates of Rochester | Current | Accepting new patients | |
| University Orthopaedic Associates of Rochester | Current | Accepting new patients |
Locations
350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000
699 S Main St
Ste 3
Canandaigua, NY 14424
Phone (585) 602-1150
601 Elmwood Ave
#61913
Rochester, NY 14642
Phone (585) 275-6366
601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- amcilwaine497368@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.
-
- Specialist
- Rochester, NY
- NPI 1346251758
-
- Durable Medical Equipment & Medical Supplies
- Dansville, NY
- NPI 1912720152
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1104662394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 S MAIN ST STE 3",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 S MAIN ST STE 3",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242208",
"telephone_number": "585-602-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCILWAINE",
"first_name": "ABBY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "031991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.