Individual provider Active NPI

Adrienne Dykeman, PA

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1497853790
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010070 Issued in NY
Practice address
150 Highland Ave
Medical Department
Rochester, NY 14620-3024
Phone
(585) 760-1478
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010070 NY Primary

Addresses

Primary practice location

150 Highland Ave
Medical Department
Rochester, NY 14620-3024

Mailing address

150 Highland Ave
Medical Department
Rochester, NY 14620-3024
Phone (585) 760-1478

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
I20041201000506 NY Practitioner - Physician Assistant 6204891252 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Mobile Medical Care PC CurrentSince Dec 4, 2025 Accepting new patients
Partners Medical Group, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 1, 1983 Accepting new patients
Highland Hospital of Rochester CurrentSince Oct 1, 1983 Accepting new patients
Mobile Physician Services PLLC CurrentSince Dec 4, 2025 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

100 Stahl Rd
Getzville, NY 14068
Phone (716) 688-8822

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

601 Elmwood Ave
#320
Rochester, NY 14642

Organizations & group practices 8

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1497853790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND AVE",
            "address_2": "MEDICAL DEPARTMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203024",
            "telephone_number": "585-760-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND AVE",
            "address_2": "MEDICAL DEPARTMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203024",
            "telephone_number": "585-760-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKEMAN",
        "first_name": "ADRIENNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.