Katherine Decker Parks

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

335297 Issued in NY

Practice address

500 Helendale Rd
Suite 100
Rochester, NY 14609-3173

Phone

(585) 266-5420

Fax

(585) 266-5423

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Elizabeth Decker Former name

Medicare fee-for-service enrollment

Enrolled in NY, MO, KS3 enrollments

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 3

Specialty

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Valley Dermatology LLCGroup PAC ID 9133499973, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.09 of 100Reported as group

Quality

91.65

Improvement activities

40

Cost

68.1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Blue Valley Dermatology LLC

  • Dermatology Physician
  • Overland Park, KS
  • NPI 1104354794
  Medicare reassignment Care Compare group NPD
• Helendale Dermatology & Medical Spa, PLLC

  • Dermatology Physician
  • Rochester, NY
  • NPI 1396913489
  Medicare reassignment NPD
• Cornerstone Dermatology & Surgery Group, PC

  • Procedural Dermatology Physician
  • Lees Summit, MO
  • NPI 1114427739
  Medicare reassignment NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1629236302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-266-5420",
            "fax_number": "585-266-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-266-5420",
            "fax_number": "585-266-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KATHERINE",
        "middle_name": "DECKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DECKER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wanda Holland Parker
• Yamashika Parker, LPN
• Destiny Parkes
• Kimberly A Parkhurst, PHD
• Jennifer Diane Parks, LCSW
• Lorinda F Parks, MD
• Melinda T Parks
• Teshia Michell Parks
• Parkway Pediatrics & Adolescent Medicine
• Parkwood Dental Care, P.C.

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.

Verify at the official NPI Registry.