Individual provider Active NPI

Bailey Raine Peinkofer

  • Physician Assistant
  • Lima, NY
National Provider Identifier
1154987550
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029960 Issued in NY
Practice address
7325 Community Dr
Lima, NY 14485-9772
Phone
(585) 624-1960
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 029960 NY Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

7325 Community Dr
Lima, NY 14485-9772

Mailing address

26 Peakview Dr
Henrietta, NY 14467-9005
Phone (814) 203-6875

Other names 1

  • Bailey Raine Kemp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190918000335 PA Practitioner - Physician Assistant 0143550160 Reassigns benefits to 1 organization
I20230913000201 NY Practitioner - Physician Assistant 0143550160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Frederick Ferris Thompson HospitalGroup PAC ID 3274428586, 227 clinicians

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

7325 Community Dr
Lima, NY 14485-9772
Phone (585) 624-1960

Hospital & facility affiliations

  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029960NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Aug 14, 2023 Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

3 Honeoye Cmns
Honeoye, NY 14471
Phone (585) 229-2215

7325 Community Dr
Lima, NY 14485
Phone (585) 624-1960

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: bpeinkofer460038@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.

Hospital & facility affiliations 3

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1154987550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PEAKVIEW DR",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679005",
            "telephone_number": "814-203-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 COMMUNITY DR",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144859772",
            "telephone_number": "585-624-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEINKOFER",
        "first_name": "BAILEY",
        "middle_name": "RAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029960",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "KEMP",
            "middle_name": "RAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lima, NY

Sources for this page

Verify at the official NPI Registry.