Active NPI
Shannon Kaempffe, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Hornell, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 024233
- Practice address
- 111 Loder St
Hornell, NY 14843-1950 - Phone
- (315) 412-1117
- NPI assigned
- Jul 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 024233 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | 024233 | NY | Primary |
Addresses
Primary practice location
111 Loder St
Hornell, NY 14843-1950
Mailing address
300 Residence Way Apt 305
Hornell, NY 14843-9190
Phone (315) 412-1117
Other practice location 1
2209 Genesee St
Utica, NY 13501-5930
Phone (315) 801-8100
Other practice location 2
1656 Champlin Ave
Utica, NY 13502-4830
Phone (315) 624-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- State University of Ny Upstate Medical University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 W Ave
Brockport, NY 14420-1118
Phone (716) 637-3905
Hospital & facility affiliations
- Vna of Western Ny Chha
- St James Hospital
- Jones Memorial Hospital
- Nicholas H Noyes Memorial Hospital
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024233 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Orchard Community Health Center Inc. | Current | Accepting new patients | |
| Oak Orchard Community Health Center Inc | Current | Accepting new patients |
Locations
300 West Ave
Brockport, NY 14420
Phone (585) 637-3905
7309 Seneca Rd N
Ste 112
Hornell, NY 14843
Phone (607) 590-2424
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.
-
- Federally Qualified Health Center (FQHC)
- Brockport, NY
- NPI 1598707812
-
- Federally Qualified Health Center (FQHC)
- Albion, NY
- NPI 1407453244
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1194379248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 RESIDENCE WAY APT 305",
"city": "HORNELL",
"state": "NY",
"postal_code": "148439190",
"telephone_number": "315-412-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LODER ST",
"city": "HORNELL",
"state": "NY",
"postal_code": "148431950",
"telephone_number": "315-412-1117"
}
],
"practiceLocations": [
{
"address_1": "2209 Genesee St",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135015930",
"country_code": "US",
"telephone_number": "315-801-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1656 Champlin Ave",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135024830",
"country_code": "US",
"telephone_number": "315-624-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAEMPFFE",
"first_name": "SHANNON",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-27",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024233",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "024233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hornell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.