Individual provider Active NPI

Kathyron Ann Maine, MS, ANP

  • Adult Health Nurse Practitioner
  • Hornell, NY
National Provider Identifier
1396023180
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305821 Issued in NY
Practice address
111 Loder St
Ste a
Hornell, NY 14843-1950
Phone
(607) 324-5404
Fax
(607) 324-5463
NPI assigned
Jul 27, 2011
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305821 NY Primary

Addresses

Primary practice location

111 Loder St
Ste a
Hornell, NY 14843-1950

Mailing address

111 Loder St
Ste a
Hornell, NY 14843-1950
Phone (607) 324-5404

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
I20111103000330 NY Practitioner - Nurse Practitioner 5092988261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7309 Seneca Rd N
Suite 112
Hornell, NY 14843-9691
Phone (607) 590-2424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jan 4, 2021 Accepting new patients
Strong Medical Group CurrentSince Jul 30, 2018 Accepting new patients
Omar Osman MD PLLC CurrentSince May 24, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

7009 Rumsey Street Ext
Bath, NY 14810
Phone (607) 776-7651

205 E 1st St
Corning, NY 14830
Phone (607) 654-2400

111 Loder St
#A
Hornell, NY 14843
Phone (607) 324-5404

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

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

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

525 Beahan Rd
Rochester, NY 14624
Phone (585) 247-7880

601 Elmwood Ave
#320
Rochester, NY 14642

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1396023180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LODER ST",
            "address_2": "STE A",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431950",
            "telephone_number": "607-324-5404",
            "fax_number": "607-324-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LODER ST",
            "address_2": "STE A",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431950",
            "telephone_number": "607-324-5404",
            "fax_number": "607-324-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINE",
        "first_name": "KATHYRON",
        "middle_name": "ANN",
        "credential": "MS, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

Verify at the official NPI Registry.