NPIMap

Individual provider Active NPI

Karyn Marie Mesiti, RPA-C

  • Medical Physician Assistant
  • Spencerport, NY
National Provider Identifier
1104868777
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
007534 Issued in NY
Practice address
4 Land Re Way
Suite 100
Spencerport, NY 14559-1741
Phone
(585) 368-6620
Fax
(585) 368-6621
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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 007534 NY Primary

Addresses

Primary practice location

4 Land Re Way
Suite 100
Spencerport, NY 14559-1741

Mailing address

4 Land Re Way
Suite 100
Spencerport, NY 14559-1741
Phone (585) 368-6620

Other identifiers 1

IdentifierTypeStateIssuer
02651403MedicaidNY

Other names 1

  • Karyn Marie Oetinger Former name

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
I20101223000028 NY Practitioner - Physician Assistant 2567650112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

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
007534NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Feb 26, 2017 Accepting new patients
Rochester General Hospital CurrentSince Dec 18, 2020 Accepting new patients
Rochester General Hospital CurrentSince Dec 18, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 26, 2017 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

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

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

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

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

4 Land Re Way
Ste 100
Spencerport, NY 14559
Phone (585) 368-6620

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 7

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1104868777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAND RE WAY",
            "address_2": "SUITE 100",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591741",
            "telephone_number": "585-368-6620",
            "fax_number": "585-368-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAND RE WAY",
            "address_2": "SUITE 100",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591741",
            "telephone_number": "585-368-6620",
            "fax_number": "585-368-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESITI",
        "first_name": "KARYN",
        "middle_name": "MARIE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02651403",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARYN",
            "last_name": "OETINGER",
            "middle_name": "MARIE",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.