Individual provider Active NPI

Kerry Anne Scott, PA

  • Physician Assistant
  • Elizabeth City, NC
National Provider Identifier
1174568109
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
615 S Hughes Blvd
Elizabeth City, NC 27909-4785
Phone
(252) 338-3111
NPI assigned
Jun 16, 2006
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7084 NY
Medical Physician Assistant 363AM0700X 007084 NY
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

615 S Hughes Blvd
Elizabeth City, NC 27909-4785

Mailing address

656 Adeline Dr
Webster, NY 14580-2344
Phone (585) 730-3992

Other identifiers 1

IdentifierTypeStateIssuer
02393635MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kscott77461@direct.urmc.rochester.edu Direct
Direct Messaging Address kscott77461@direct.urmc.rochester.edu Direct

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
I20060411000379 NY Practitioner - Physician Assistant 1355350927 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians
University of Rochester Urgent CareGroup PAC ID 2567772676, 63 clinicians

Practice addresses (Care Compare)

2047 W Ridge Rd
Rochester, NY 14626-2718
Phone (585) 276-1900

2070 Empire Blvd
Webster, NY 14580-1917

2134 Penfield Rd
Penfield, NY 14526-1736
Phone (585) 276-8280

3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1055

42 Nichols St
Spencerport, NY 14559-2180
Phone (585) 349-7094

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 784-2972

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
68.61
Promoting interoperability
100
Improvement activities
40
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007084NYMDMassage Therapist
7084NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince May 4, 2015 Accepting new patients
University of Rochester CurrentSince May 16, 2016 Accepting new patients
University of Rochester CurrentSince May 16, 2016 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Feb 1, 2022 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Feb 1, 2022 Accepting new patients
Rochester General Hospital Past Accepting new patients
William a Dolan M D P C Past Accepting new patients
Stephanie E Siegrist MD LLC PastSince Jul 24, 2001 Accepting new patients
Steven J Posnick MD PLLC Past Accepting new patients

Locations

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

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

2115 Chili Ave
Rochester, NY 14624
Phone (585) 247-0070

2745 W Ridge Rd
Rochester, NY 14626
Phone (585) 225-5252

30 Hagen Dr
Ste 220
Rochester, NY 14625
Phone (585) 295-5476

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

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

Interoperability endpoints

  • Direct secure messaging: kscott77461@direct.urmc.rochester.edu

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1174568109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 ADELINE DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802344",
            "telephone_number": "585-730-3992",
            "fax_number": "585-247-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094785",
            "telephone_number": "252-338-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KERRY",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-03-21",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "7084",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007084",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02393635",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kscott77461@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kscott77461@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.