Individual provider Active NPI

Kaylynn Margaret Ingraham, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1265126049
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351966 Issued in NY
Practice address
500 Island Cottage Rd
Rochester, NY 14612-2308
Phone
(585) 368-6000
Fax
(585) 368-6010
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 351966 NY Primary

Addresses

Primary practice location

500 Island Cottage Rd
Rochester, NY 14612-2308

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230907002463 NY Practitioner - Nurse Practitioner 2860856952 Reassigns benefits to 1 organization
I20250401003546 CO Practitioner - Nurse Practitioner 2860856952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Northern ColoradoGroup PAC ID 5092176784, 11 clinicians

Practice addresses (Care Compare)

1335 E S Boulder Rd
Suite C Afc Urgent Care
Louisville, CO 80027-2304
Phone (720) 961-9700

2804 S Timberline Rd
Afc Urgent Care
Fort Collins, CO 80525-2402
Phone (970) 672-4026

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Urgent Care Professional Corporation CurrentSince Aug 22, 2025 Accepting new patients
Behavioral Health Network, Inc. Current Accepting new patients
Quality Urgent Care Professional Corporation Current Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 28, 2023 Accepting new patients
Quality Urgent Care Professional Corporation CurrentSince Aug 22, 2025 Accepting new patients
Urgent Care Northern Colorado CurrentSince Nov 10, 2025 Accepting new patients
The Unity Hospital of Rochester PastSince Jun 11, 2023 Accepting new patients

Locations

2795 Pearl St
Ste 106
Boulder, CO 80302
Phone (720) 961-9700

2804 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 672-4026

1335 E South Boulder Rd
Ste C
Louisville, CO 80027
Phone (720) 961-9700

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

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

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

Interoperability endpoints

  • Direct secure messaging: kaylynn.ingraham.1@4045.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1265126049",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ISLAND COTTAGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122308",
            "telephone_number": "585-368-6000",
            "fax_number": "585-368-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAHAM",
        "first_name": "KAYLYNN",
        "middle_name": "MARGARET",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.