NPIMap

Organization Active NPI

Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
National Provider Identifier
1265098941
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRILLIUM HEALTH, INC
Practice address
170 Science Pkwy
Rochester, NY 14620-4251
Phone
(585) 465-2015
NPI assigned
May 17, 2019
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Jason Barnecut-Kearns
Title
President/Ceo
Phone
(585) 210-4138

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

170 Science Pkwy
Rochester, NY 14620-4251

Mailing address

259 Monroe Ave Ste 100
Rochester, NY 14607-3632
Phone (585) 465-2015

Other names 1

  • Trillium Health Mobile Access Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000722 NY Part B Supplier - Clinic/Group Practice 9931095007 Receives reassigned benefits from 46 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rochester, NY
O20200305000021 NY Part A Provider - Federally Qualified Health Center (FQHC) 9931095007 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rochester, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265098941. Details of each certification follow.

Federally qualified health center certification: CCN 571198

Legal name
TRILLIUM HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 10, 2020
Last certification
Apr 10, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 11, 2014 in NY
Enrollment address
170 Science Pkwy
Rochester, NY 14620-4251

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

259 Monroe Ave
Lowr
Rochester, NY 14607
Phone (585) 241-9000

87 N Clinton Ave
Ste 4
Rochester, NY 14604
Phone (585) 244-9000

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason M Barnecut-Kearns Individual Corporate OfficerCeo Mar 19, 2018 100%
Operational/Managerial ControlCeo Jul 6, 2022 100%
James Vesper Individual Corporate DirectorBoard Member Sep 1, 2020
Jennison Bielemeier Individual Operational/Managerial ControlCfo Jan 31, 2023
Barry Jencik Individual Corporate DirectorBoard Member Sep 1, 2020
Patricia Gatlin Individual Corporate OfficerExecutive Compensation Member Jul 1, 2024
Corporate DirectorDirector (Board) Jul 1, 2024
William Clark Individual Corporate DirectorBoard Member Sep 1, 2020
Leslie Connolly Individual Corporate OfficerBoard of Directors Jun 1, 2021
Corporate DirectorBoard Member Sep 1, 2020
Christopher Sardella Individual Corporate DirectorBoard Member Sep 1, 2020

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1265098941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-465-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SCIENCE PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204251",
            "telephone_number": "585-465-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "BARNECUT-KEARNS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "585-210-4138"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Health Mobile Access Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.