Active NPI
Shannon Kasper, DNP
- Gerontology Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 307673
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3011 - Phone
- (585) 922-4518
- Fax
- (585) 336-5113
- NPI assigned
- Mar 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307673 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | 307673 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3011
Mailing address
4993 Tim Tam TRL
Blasdell, NY 14219-2633
Phone (716) 998-1405
Other practice location 1
515 Abbott Rd
Buffalo, NY 14220-1700
Phone (716) 828-3123
Other practice location 2
30 Hagen Dr Ste 120
Rochester, NY 14625-2658
Phone (585) 922-5300
Other practice location 3
1445 Portland Ave Ste 108
Rochester, NY 14621-3008
Phone (585) 922-5550
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 225-5767
Hospital & facility affiliations
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 69.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307673 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Wny PC | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Trinity Medical Wny PC | Adult Health | Current | Accepting new patients |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Trinity Medical Wny PC | Adult Health | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| University of Rochester Neurosurgery Group | Current | Accepting new patients | |
| CHS Neuroscience Group | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients |
Locations
515 Abbott Rd
Buffalo, NY 14220
Phone (716) 827-8220
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503
1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
30 Hagen Dr
Ste 120
Rochester, NY 14625
Phone (585) 922-4325
1445 Portland Ave
Ste 108
Rochester, NY 14621
Phone (585) 922-5550
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- skasper481825@direct.urmc.rochester.edu
Organizations & group practices 13
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.
-
- Neurological Surgery Physician
- Rochester, NY
- NPI 1780783746
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Neurology Physician
- Buffalo, NY
- NPI 1972883304
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1457712101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4993 TIM TAM TRL",
"city": "BLASDELL",
"state": "NY",
"postal_code": "142192633",
"telephone_number": "716-998-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213011",
"telephone_number": "585-922-4518",
"fax_number": "585-336-5113"
}
],
"practiceLocations": [
{
"address_1": "515 Abbott Rd",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142201700",
"country_code": "US",
"telephone_number": "716-828-3123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Hagen Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146252658",
"country_code": "US",
"telephone_number": "585-922-5300",
"fax_number": "585-922-0450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1445 Portland Ave Ste 108",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213008",
"country_code": "US",
"telephone_number": "585-922-5550",
"fax_number": "585-922-5950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASPER",
"first_name": "SHANNON",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307673",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "307673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.