Active NPI
Rachel Marie Damon, RPA-C
- Physician Assistant
- Fayetteville, NY
National Provider Identifier
1558507251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013085
- Practice address
- 4110 Medical Center Dr
Fayetteville, NY 13066-6613 - Phone
- (315) 663-0100
- Fax
- (315) 663-0052
- NPI assigned
- Dec 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013085 | NY | Primary |
Addresses
Primary practice location
4110 Medical Center Dr
Fayetteville, NY 13066-6613
Mailing address
4110 Medical Center Dr
Suite 110
Fayetteville, NY 13066-6613
Phone (315) 663-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 J E Briscoe Way
Madison, AL 35758-4822
Phone (256) 705-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.56 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013085 | NY | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- MOHS-Micrographic Surgery Physician
- Madison, AL
- NPI 1538433602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417824000000",
"number": "1558507251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 MEDICAL CENTER DR",
"address_2": "SUITE 110",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130666613",
"telephone_number": "315-663-0100",
"fax_number": "315-663-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 MEDICAL CENTER DR",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130666613",
"telephone_number": "315-663-0100",
"fax_number": "315-663-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMON",
"first_name": "RACHEL",
"middle_name": "MARIE",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-30",
"last_updated": "2014-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.