Kelly M Bubacz, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341631 Issued in NY

Practice address

65 Genesee St, 1St Floor, Ste 3
Rochester, NY 14611

Phone

(585) 235-4860

Fax

(585) 464-9047

NPI assigned

Mar 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbubacz217230@direct.rochesterregional.org

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.

• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1760421713
  Medicare reassignment Care Compare group NPD
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766
  NPD
• The Unity Hospital of Rochester

  • Clinical Medical Laboratory
  • Rochester, NY
  • NPI 1720471246
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Unity Hospital of Rochester

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1164406476

  Hospital

  Care Compare affiliation
• The Unity Hospital of Rochester

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NY
  • NPI 1336366822

  Hospital

  Care Compare affiliation
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766
  Care Compare affiliation
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1477798189
  Care Compare affiliation
• The Unity Hospital of Rochester

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rochester, NY
  • NPI 1689891178

  Hospital

  Care Compare affiliation
• The Unity Hospital of Rochester

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Rochester, NY
  • NPI 1730237603
  Care Compare affiliation
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1760421713
  Care Compare affiliation

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1144760232",
    "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": "585-235-4860",
            "fax_number": "585-464-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GENESEE ST, 1ST FLOOR, STE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "telephone_number": "585-235-4860",
            "fax_number": "585-464-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBACZ",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04811501",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbubacz217230@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "65 GENESEE ST, 1ST FLOOR, STE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheena L Bryant, LPN
• Stephen Bryant Jr., LMSW
• Sylvia Bryant, LMHC
• Thena L Bryant, LPN
• Jingnan Bu, M.D.
• Heather Bubel
• Nicole Bubie, PA-C
• Christina Bucci, R.N.
• Kathleen Buccieri, PT
• Kelsey Buchanan

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.

Verify at the official NPI Registry.