Keuka Health Care Associates, P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331889 Issued in NY

Legal business name

KEUKA HEALTH CARE ASSOCIATES, P.C.

Practice address

418 N Main St
Penn Yan, NY 14527-1070

Phone

(315) 536-3308

Fax

(315) 536-0430

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William P. Welbourne, M.D.

Title

President

Phone

(315) 536-3308

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1326185158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271070",
            "telephone_number": "315-536-3308",
            "fax_number": "315-536-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271070",
            "telephone_number": "315-536-3308",
            "fax_number": "315-536-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEUKA HEALTH CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WELBOURNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-536-3308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "119889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "0688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janis Michele Jepsen, SPECIAL EDUCATION TE
• Osbelia Jimenez, RN
• Danielle Johnson, RN
• Ashley M Jones
• Barbara Jean Kelly-Kinney, PT
• Keuka Taxi LLC
• Judy R Kirk, MS RD CON
• Robert Dayton Knapp, OTR/L
• Maxine Margaret Kniffi, RN, MSN
• Harsh P Kothari, PHARM D.

• Family Nurse Practitioner in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.