Individual provider Active NPI

Shauna Cole, PA-C

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1336186550
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021964-1 Issued in NY
Practice address
120 Erie Canal Dr Ste 200
Rochester, NY 14626-4609
Phone
(585) 719-9600
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-980 NV
Medical Physician Assistant 363AM0700X 021964-1 NY Primary

Addresses

Primary practice location

120 Erie Canal Dr Ste 200
Rochester, NY 14626-4609

Mailing address

120 Erie Canal Dr Ste 200
Rochester, NY 14626-4609
Phone (585) 719-9600

Other identifiers 2

IdentifierTypeStateIssuer
100511202MedicaidNV
1336186550MedicaidNY

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
I20180802002410 NY Practitioner - Physician Assistant 5799797783 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U of R Plastic SurgeonsGroup PAC ID 5294726238, 18 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-1000

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-3376

601 Elmwood Ave Box
Suite 278911
Rochester, NY 14642-0001

601 Elmwood Ave Box Surg
Rochester, NY 14642-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.04 of 100Reported as group
Quality
62.13
Promoting interoperability
99
Improvement activities
40
Cost
75.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021964NYMDSpeech-Language Pathologist
PA-980NVMDMedical Physician Assistant
021964-1NYMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: scole252454@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 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1336186550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264609",
            "telephone_number": "585-719-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264609",
            "telephone_number": "585-719-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHAUNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA-980",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021964-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511202",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336186550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.