Individual provider Active NPI

Karolina Micalos

  • Family Nurse Practitioner
  • Webster, NY
National Provider Identifier
1235614579
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343663 Issued in NY
Practice address
1065 Ridge Rd
Webster, NY 14580-1458
Phone
(585) 899-0397
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343663 NY Primary

Addresses

Primary practice location

1065 Ridge Rd
Webster, NY 14580-1458

Mailing address

634 Saddle Crest Drive
Webster, NY 14580
Phone (585) 899-0397

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
I20181206002469 NY Practitioner - Nurse Practitioner 4486998176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

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

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
343663NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Sep 11, 2023 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Sep 11, 2023 Accepting new patients
Rochester General Hospital CurrentSince Sep 11, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 11, 2023 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Sep 26, 2022 Accepting new patients
Rochester General Hospital CurrentSince Sep 11, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 11, 2023 Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

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

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

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

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

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

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

1867 Empire Blvd
Webster, NY 14580
Phone (585) 347-3689

1065 Ridge Rd
Webster, NY 14580
Phone (585) 872-2273

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1235614579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 SADDLE CREST DRIVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "585-899-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801458",
            "telephone_number": "585-899-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICALOS",
        "first_name": "KAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.