Individual provider Active NPI

Courtney Alyssa Putnam, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1558034157
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
026720 Issued in NY
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

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914002190 NY Practitioner - Physician Assistant 0345646535 Reassigns benefits to 2 organizations

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
Cardiology Clinical GroupGroup PAC ID 3577458199, 148 clinicians
St James HospitalGroup PAC ID 0345154480, 130 clinicians

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 Hospital, Rochester, NY, CCN 330285
  • St James Hospital Hospital, Hornell, NY, CCN 330151

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
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

LicenseStateTypeSpecialty
26720NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.