NPIMap

Individual provider Active NPI

Andrew Ellison, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1538745336
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
026863 Issued in NY
Practice address
995 Senator Keating Blvd Ste 330
Rochester, NY 14618-2779
Phone
(585) 232-2980
Fax
(585) 232-6552
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 026863 NY Primary

Addresses

Primary practice location

995 Senator Keating Blvd Ste 330
Rochester, NY 14618-2779

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 232-2980

Other practice location 1

4500 Millennium Dr
Geneseo, NY 14454-1192
Phone (585) 232-2980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930000145 NY Practitioner - Physician Assistant 5294132403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-7366

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Hospital & facility affiliations

  • Unity Hospital Hospital, Rochester, NY, CCN 330226

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026863NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Nov 5, 2022 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 16, 2021 Accepting new patients
Rochester General Hospital CurrentSince Aug 16, 2021 Accepting new patients
Western New York Medical Practice PC CurrentSince Aug 16, 2021 Accepting new patients
Rochester General Hospital CurrentSince Aug 16, 2021 Accepting new patients

Locations

4500 Millennium Dr
Geneseo, NY 14454
Phone (585) 232-2980

995 Senator Keating Blvd
Ste 330
Rochester, NY 14618
Phone (585) 232-2980

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1538745336",
    "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": "585-232-2980",
            "fax_number": "585-232-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 SENATOR KEATING BLVD STE 330",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182779",
            "telephone_number": "585-232-2980",
            "fax_number": "585-232-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Millennium Dr",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541192",
            "country_code": "US",
            "telephone_number": "585-232-2980",
            "fax_number": "585-232-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "026863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.