Active NPI
Kristin Rose Henchenski, PA-C
- Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021980
- Practice address
- 1415 Portland Ave
Suite 225
Rochester, NY 14621-3039 - Phone
- (585) 922-2900
- Fax
- (585) 922-2117
- NPI assigned
- Nov 20, 2014
- Last updated
- Oct 25, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0005607 | MD | |
| Physician Assistant | 363A00000X | 021980 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave
Suite 225
Rochester, NY 14621-3039
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553
Other practice location 1
1200 Driving Park Ave
Newark, NY 14513
Phone (585) 922-2900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kristin.Henchenski@rochesterregional.org |
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
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Portland Ave
Suite 190
Rochester, NY 14621-3039
Phone (585) 336-5000
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
1561 Long Pond Rd
Suite 220
Rochester, NY 14626-4135
Phone (585) 383-8830
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005607 | MD | MD | Physician Assistant |
| 021980 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Physician Assistant | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients |
Locations
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1415 Portland Ave
Ste 225
Rochester, NY 14621
Phone (585) 922-2900
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Interoperability endpoints
- khenchenski235328@direct.rochesterregional.org
- kristin.henchenski@rochesterregional.org
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1104149301
Physician Assistant
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1457758377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-922-0553",
"fax_number": "585-922-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE",
"address_2": "SUITE 225",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213039",
"telephone_number": "585-922-2900",
"fax_number": "585-922-2117"
}
],
"practiceLocations": [
{
"address_1": "1200 Driving Park Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NY",
"postal_code": "14513",
"country_code": "US",
"telephone_number": "585-922-2900",
"fax_number": "585-922-2117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENCHENSKI",
"first_name": "KRISTIN",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0005607",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021980",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kristin.Henchenski@rochesterregional.org",
"affiliation": "N",
"address_1": "1415 Portland Ave",
"address_2": "Suite 225",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146213039",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 25, 2022; 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.