Individual provider Active NPI

Brittany Imel Zoll, PA

  • Physician Assistant
  • Utica, NY
National Provider Identifier
1366136509
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
St. Elizabeth East Utica Office
1256 Culver Ave
Utica, NY 13501-4253
Phone
(315) 738-7186
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

St. Elizabeth East Utica Office
1256 Culver Ave
Utica, NY 13501-4253

Mailing address

2215 Genesee St
St. Elizabeth Con- Credentialing RM 105
Utica, NY 13501-5930
Phone (315) 801-8350

Other names 1

  • Brittany Imel 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
I20230905003386 NY Practitioner - Physician Assistant 7416310636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

1256 Culver Ave
Utica, NY 13501-4253
Phone (315) 738-7186

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Oct 28, 2023 Accepting new patients
MVHS Inc CurrentSince Oct 28, 2023 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

2215 Genesee St
Utica, NY 13501
Phone (315) 801-4238

1256 Culver Ave
Ofc
Utica, NY 13501
Phone (315) 738-7186

2215 Genesee St
Rm 105
Utica, NY 13501

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

Interoperability endpoints

  • Direct secure messaging: bimel42783@mvhealthsystem.direct-ci.com

Organizations & group practices 2

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1366136509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 GENESEE ST",
            "address_2": "ST. ELIZABETH CON- CREDENTIALING RM 105",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. ELIZABETH EAST UTICA OFFICE",
            "address_2": "1256 CULVER AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014253",
            "telephone_number": "315-738-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLL",
        "first_name": "BRITTANY",
        "middle_name": "IMEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "IMEL",
            "credential": "BRITTANY IMEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.