NPIMap

Individual provider Active NPI

Catherine A Gillespie, RPAC

  • Medical Physician Assistant
  • Bemus Point, NY
National Provider Identifier
1629055009
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
005116 Issued in NY
Practice address
4936 Main St
Bemus Point, NY 14712-9667
Phone
(716) 386-2414
Fax
(716) 386-2437
NPI assigned
Dec 28, 2005
Last updated
Dec 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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 005116 NY Primary

Addresses

Primary practice location

4936 Main St
Bemus Point, NY 14712-9667

Mailing address

4936 Main St
PO Box 470
Bemus Point, NY 14712-9667
Phone (716) 386-2414

Other identifiers 4

IdentifierTypeStateIssuer
9512318OtherNYINDEPENDENT HEALTH
000570059005OtherNYBC WESTERN NY PROVIDER #
00010198101OtherNYUNIVERA
01578523MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20170517000976 SC Practitioner - Physician Assistant 0244127918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.46 of 100Reported as group
Quality
47.5
Promoting interoperability
100
Improvement activities
40
Cost
83.42

Merit-based Incentive Payment System (MIPS)

Final score
88.55 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2601SCMDOptometrist
5116NYMDOptician
005116NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Memorial Hospital CurrentSince Dec 21, 2016 Accepting new patients
Fred Jamie W Holland II MD PC Past Accepting new patients
Meadville Emergency Phys PC Past Accepting new patients
St Vincent Medical Education and Research Institute Inc Past Accepting new patients

Locations

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

Interoperability endpoints

  • Direct secure messaging: cgillespie447777@direct.musc.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1629055009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 MAIN ST",
            "address_2": "PO BOX 470",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129667",
            "telephone_number": "716-386-2414",
            "fax_number": "716-386-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 MAIN ST",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129667",
            "telephone_number": "716-386-2414",
            "fax_number": "716-386-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "RPAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512318",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC WESTERN NY PROVIDER #",
            "identifier": "000570059005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010198101",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01578523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemus Point, NY

Sources for this page

Verify at the official NPI Registry.