Individual provider Active NPI

Karen Rita Wanamaker, DC

  • Chiropractor
  • Penfield, NY
National Provider Identifier
1396739322
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6526 Issued in NY
Practice address
2082 Five Mile Line Rd
Penfield, NY 14526-1450
Phone
(585) 249-0760
Fax
(585) 249-0761
NPI assigned
Sep 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6526 NY Primary

Addresses

Primary practice location

2082 Five Mile Line Rd
Penfield, NY 14526-1450

Mailing address

107 Daytona Ave
Webster, NY 14580-2203
Phone (585) 670-9405

Other identifiers 2

IdentifierTypeStateIssuer
101871ANOtherPREFERED CARE
P01006526OtherEXCELLUS BSBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000364 NY Practitioner - Chiropractic 8921282120 Reassigns benefits to 1 organization
Practice locations: Penfield, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Health Chiropractic PLLCGroup PAC ID 4789694910, 4 clinicians

Practice addresses (Care Compare)

2349 Monroe Ave
Rochester, NY 14618-3033
Phone (585) 442-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6526NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Health Chiropractic PLLC Chiropractor CurrentSince Jun 3, 2023 Accepting new patients

Locations

2349 Monroe Ave
Rochester, NY 14618
Phone (585) 442-6030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396739322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DAYTONA AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802203",
            "telephone_number": "585-670-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 FIVE MILE LINE RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261450",
            "telephone_number": "585-249-0760",
            "fax_number": "585-249-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANAMAKER",
        "first_name": "KAREN",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "6526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED CARE",
            "identifier": "101871AN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BSBC",
            "identifier": "P01006526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.