Individual provider Active NPI

McKaylle Jean Woodcock, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1205564416
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028664 Issued in NY
Practice address
995 Senator Keating Blvd.
BLDG E, Suite 200
Rochester, NY 14618-2776
Phone
(585) 602-0500
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028664 NY Primary

Addresses

Primary practice location

995 Senator Keating Blvd.
BLDG E, Suite 200
Rochester, NY 14618-2776

Mailing address

995 Senator Keating Blvd.
BLDG E, Suite 200
Rochester, NY 14618-2776
Phone (585) 602-0500

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
I20221215000947 NY Practitioner - Physician Assistant 7810366762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

2400 Clinton S Ave F
Rochester, NY 14618-2668
Phone (585) 244-7200

2400 Clinton S Ave G
Rochester, NY 14618-2668
Phone (585) 341-7685

2400 Clinton S Ave H
Rochester, NY 14618-2668
Phone (585) 341-7143

2400 S Clinton Ave
BLDG H
Rochester, NY 14618-2668
Phone (585) 341-7200

995 Senator Keating Blvd
Suite 200
Rochester, NY 14618-2776
Phone (585) 279-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028664NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Oct 16, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 12, 2022 Accepting new patients
University of Rochester CurrentSince Oct 16, 2023 Accepting new patients

Locations

995 Senator Keating Blvd
Ste 200
Rochester, NY 14618
Phone (585) 279-3600

1561 Long Pond Rd
Ste 303
Rochester, NY 14626
Phone (585) 368-6500

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

Organizations & group practices 4

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 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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1205564416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 SENATOR KEATING BLVD.",
            "address_2": "BLDG E, SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182776",
            "telephone_number": "585-602-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 SENATOR KEATING BLVD.",
            "address_2": "BLDG E, SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182776",
            "telephone_number": "585-602-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "MCKAYLLE",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.