Individual provider Active NPI

Shannon Kasper, DNP

  • Gerontology Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1457712101
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
307673 Issued in NY
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

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712001806 NY Practitioner - Nurse Practitioner 9133411101 Reassigns benefits to 7 organizations

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
University of Rochester Neurosurgery GroupGroup PAC ID 5294733747, 50 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 225-5767

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
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

LicenseStateTypeSpecialty
307673NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Jul 14, 2022 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 23, 2023 Accepting new patients
Mercy Hospital of Buffalo CurrentSince May 1, 2016 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 CurrentSince Jul 14, 2022 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 17, 2022 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2020 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2020 Accepting new patients
University of Rochester Neurosurgery Group CurrentSince Nov 20, 2023 Accepting new patients
CHS Neuroscience Group CurrentSince May 1, 2016 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 23, 2023 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.