Individual provider Active NPI

Amanda Schnorf, PA-C

  • Surgical Physician Assistant
  • Rochester, NY
National Provider Identifier
1124423355
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
017889 Issued in NY
Practice address
2824 W Ridge Rd
Rochester, NY 14626-1639
Phone
(585) 371-8373
Fax
(716) 831-1065
NPI assigned
Oct 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 017889 NY Primary

Addresses

Primary practice location

2824 W Ridge Rd
Rochester, NY 14626-1639

Mailing address

100 Big Ridge Rd
Apartment B
Spencerport, NY 14559-1265
Phone (413) 519-9973

Other practice location 1

114 University Ave
Rochester, NY 14605-2929
Phone (585) 371-8373

Other identifiers 1

IdentifierTypeStateIssuer
04248284MedicaidNY

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
I20150928001837 NY Practitioner - Physician Assistant 4284942061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Central and Western New York IncGroup PAC ID 6406848647, 19 clinicians

Practice addresses (Care Compare)

15 Webster St
North Tonawanda, NY 14120-5816
Phone (716) 694-6454

2235 S Clinton Ave
Rochester, NY 14618-2623
Phone 5855462771247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017889NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Rochester/Syracuse Region PastSince Feb 9, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.schnorf.p4@direct.usppny.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1124423355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BIG RIDGE RD",
            "address_2": "APARTMENT B",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591265",
            "telephone_number": "413-519-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261639",
            "telephone_number": "585-371-8373",
            "fax_number": "716-831-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 University Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146052929",
            "country_code": "US",
            "telephone_number": "585-371-8373",
            "fax_number": "716-831-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNORF",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "017889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04248284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.