Active NPI
Courtney Alyssa Putnam, PA
- Medical Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 026720
- Practice address
- 140 Canal View Blvd Ste 102
Rochester, NY 14623-2815 - Phone
- (585) 338-2700
- NPI assigned
- Jul 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 26720 | NY | |
| Medical Physician Assistant | 363AM0700X | 026720 | NY | Primary |
Addresses
Primary practice location
140 Canal View Blvd Ste 102
Rochester, NY 14623-2815
Mailing address
140 Canal View Blvd Ste 102
Rochester, NY 14623-2815
Phone (585) 338-2700
Other practice location 1
1835 Fairport Nine Mile Point Rd Ste 200
Penfield, NY 14526-1903
Phone (585) 338-2700
Other practice location 2
999 E Ridge Rd Ste 1000
Rochester, NY 14621-1936
Phone (585) 338-2700
Other practice location 3
2400 S Clinton Ave Bldg G
Rochester, NY 14618-2668
Phone (585) 341-7800
Other names 1
- Courtney Alyssa Flotteron
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cflotteron130850@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | cflotteron130850@direct.urmc.rochester.edu | Direct |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808
Phone (585) 242-9450
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2475
601 Elmwood Ave Box
Rochester, NY 14642-0001
7309 Seneca Rd N
Hornell, NY 14843-9691
Hospital & facility affiliations
- Strong Memorial Hospital
- St James Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 69.24
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 80.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26720 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Past | Accepting new patients |
Interoperability endpoints
- cflotteron130850@direct.urmc.rochester.edu
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Rochester, NY
- NPI 1811936727
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- 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": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1558034157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CANAL VIEW BLVD STE 102",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232815",
"telephone_number": "585-338-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CANAL VIEW BLVD STE 102",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232815",
"telephone_number": "585-338-2700"
}
],
"practiceLocations": [
{
"address_1": "1835 Fairport Nine Mile Point Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Penfield",
"state": "NY",
"postal_code": "145261903",
"country_code": "US",
"telephone_number": "585-338-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 E Ridge Rd Ste 1000",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146211936",
"country_code": "US",
"telephone_number": "585-338-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 S Clinton Ave Bldg G",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146182668",
"country_code": "US",
"telephone_number": "585-341-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUTNAM",
"first_name": "COURTNEY",
"middle_name": "ALYSSA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2023-07-17",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "26720",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "026720",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cflotteron130850@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cflotteron130850@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "FLOTTERON",
"middle_name": "ALYSSA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 17, 2023; 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.