Individual provider Active NPI

Kathy A Penny, ANP, GNP-BC

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1215966791
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304409 Issued in NY
Practice address
55 Genesee St BK Building 1St FLR
Rochester, NY 14611
Phone
(585) 368-3591
Fax
(585) 368-3620
NPI assigned
Jun 30, 2006
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F304409 NY Primary

Addresses

Primary practice location

55 Genesee St BK Building 1St FLR
Rochester, NY 14611

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 368-3691

Other identifiers 1

IdentifierTypeStateIssuer
02507591MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kpenny184208@direct.rochesterregional.org
Direct Messaging Address kathy.penny@rochesterregional.org

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
I20040202000689 NY Practitioner - Nurse Practitioner 1557264801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
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)

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

55 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3506

65 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3531

75 Genesee St
FL 2
Rochester, NY 14611-3201
Phone (585) 368-3380

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 723-7000

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F304409NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Jul 14, 2010 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

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

55 Genesee St
Bldg 1ST
Rochester, NY 14611
Phone (585) 368-3506

89 Genesee St
Rochester, NY 14611
Phone (585) 723-7000

89 Genesee St
#1
Rochester, NY 14611

Interoperability endpoints

  • Direct secure messaging: kpenny184208@direct.rochesterregional.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1215966791",
    "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": "585-368-3691",
            "fax_number": "585-368-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GENESEE ST BK BUILDING 1ST FLR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "telephone_number": "585-368-3591",
            "fax_number": "585-368-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "ANP, GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02507591",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpenny184208@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "55 GENESEE ST BK BUILDING 1ST FLR",
            "city": "ROCHESTER",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathy.penny@rochesterregional.org",
            "affiliation": "N",
            "address_1": "55 GENESEE ST BK BUILDING 1ST FLR",
            "city": "ROCHESTER",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.