Individual provider Active NPI

Kylie Bellis Ewing, CPNP-AC

  • Pediatric Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1447895560
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383153 Issued in NY
Practice address
220 Linden Oaks Ste 200
Rochester, NY 14625-2899
Phone
(585) 381-4848
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 383153 NY
Pediatric Nurse Practitioner 363LP0200X 383153 NY Primary

Addresses

Primary practice location

220 Linden Oaks Ste 200
Rochester, NY 14625-2899

Mailing address

220 Linden Oaks Ste 200
Rochester, NY 14625-2899
Phone (585) 381-4848

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kewing83978@direct.urmc.rochester.edu Direct
Direct Messaging Address kewing83978@direct.urmc.rochester.edu Direct

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
I20210510002340 NY Practitioner - Nurse Practitioner 0042629735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
383153NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jun 7, 2021 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Pediatric Group Univ of Rochester CurrentSince Jun 7, 2021 Accepting new patients
Pediatric Group Univ of Rochester CurrentSince Jun 7, 2021 Accepting new patients
Pediatric G I Nutrition CurrentSince Jun 7, 2021 Accepting new patients
University of Rochester CurrentSince Jun 7, 2021 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Panorama Pediatric Group, RLLP Past Accepting new patients

Locations

601 Elmwood Ave
#667
Rochester, NY 14642
Phone (585) 275-2647

601 Elmwood Ave
#777
Rochester, NY 14642
Phone (585) 275-0995

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
#635
Rochester, NY 14642
Phone (585) 275-2821

Interoperability endpoints

  • Direct secure messaging: kewing@panoramapeds.medentdirect.com

Organizations & group practices 9

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1447895560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252899",
            "telephone_number": "585-381-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252899",
            "telephone_number": "585-381-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "KYLIE",
        "middle_name": "BELLIS",
        "name_prefix": "Mrs.",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-07-07",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "383153",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kewing83978@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kewing83978@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.