Individual provider Active NPI

Shayna Claire Kaiser, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1356852586
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021504 Issued in NY
Practice address
1415 Portland Ave Ste 225
Rochester, NY 14621-3039
Phone
(585) 922-2900
Fax
(585) 922-2117
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 021504 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 225
Rochester, NY 14621-3039

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-2900

Other practice location 1

1555 Long Pond Rd Dept Of
Rochester, NY 14626-4122
Phone (585) 723-7870

Other practice location 2

1561 Long Pond Rd
Rochester, NY 14626-4117
Phone (585) 723-7650

Other names 1

  • Shayna Claire Goss Former name

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
I20171102001063 NY Practitioner - Physician Assistant 8022374362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jan 1, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 16, 2017 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Jan 1, 2020 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2020 Accepting new patients
Rochester General Hospital PastSince Jan 26, 2020 Accepting new patients

Locations

120 Erie Canal Dr
Ste 300
Rochester, NY 14626
Phone (585) 865-8210

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1415 Portland Ave
Ste 225
Rochester, NY 14621
Phone (585) 922-2900

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

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

1561 Long Pond Rd
Rochester, NY 14626
Phone (585) 368-4800

Interoperability endpoints

  • Direct secure messaging: sgoss181465@direct.rochesterregional.org

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 7

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1356852586",
    "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",
            "telephone_number": "585-922-2900",
            "fax_number": "585-922-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 225",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213039",
            "telephone_number": "585-922-2900",
            "fax_number": "585-922-2117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Long Pond Rd Dept Of",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264122",
            "country_code": "US",
            "telephone_number": "585-723-7870",
            "fax_number": "585-723-7871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264117",
            "country_code": "US",
            "telephone_number": "585-723-7650",
            "fax_number": "585-723-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "SHAYNA",
        "middle_name": "CLAIRE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "GOSS",
            "middle_name": "CLAIRE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.