Individual provider Active NPI

Cassondra M Mejak, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1295907905
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335570 Issued in NY
Practice address
1425 Portland Ave
Rgpa
Rochester, NY 14621-3001
Phone
(585) 922-2575
Fax
(585) 922-5033
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 563527 NY
Family Nurse Practitioner 363LF0000X 335570 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Rgpa
Rochester, NY 14621-3001

Mailing address

1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 922-2575

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cmejak2976@direct.urmc.rochester.edu Direct
Direct Messaging Address cmejak2976@direct.urmc.rochester.edu Direct

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
I20110302000068 NY Practitioner - Nurse Practitioner 4688855216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Rochester Neurosurgery GroupGroup PAC ID 5294733747, 50 clinicians

Practice addresses (Care Compare)

1445 Portland Ave
Suite 305
Rochester, NY 14621-3044
Phone (585) 342-7783

2180 Clinton S Ave
Rochester, NY 14618-2665
Phone (585) 225-5767

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238
  • St James Hospital Hospital, Hornell, NY, CCN 330151

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
69.94
Promoting interoperability
100
Improvement activities
40
Cost
86.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
563527NYMDRegistered Nurse
335570NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Feb 11, 2020 Accepting new patients
Rochester General Hospital CurrentSince Feb 11, 2020 Accepting new patients
University of Rochester Neurosurgery Group CurrentSince May 1, 2021 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Feb 11, 2020 Accepting new patients

Locations

60 Greece Center Dr
Rochester, NY 14612
Phone (585) 723-9100

1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344

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

1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-4103

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

2180 S Clinton Ave
Rochester, NY 14618
Phone (585) 225-5767

601 Elmwood Ave
#670
Rochester, NY 14642
Phone (585) 225-5767

Interoperability endpoints

  • Direct secure messaging: cmejak2976@direct.urmc.rochester.edu

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 6

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1295907905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212006",
            "telephone_number": "585-922-2575",
            "fax_number": "585-922-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "address_2": "RGPA",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-2575",
            "fax_number": "585-922-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJAK",
        "first_name": "CASSONDRA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2023-07-06",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "563527",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmejak2976@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmejak2976@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.