Active NPI
Kathleen Mullaney
- Nurse Practitioner
- Hazle Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP031519
- Practice address
- 426 Airport Rd
Hazle Township, PA 18202-3361 - Phone
- (570) 459-9730
- Fax
- (570) 459-9736
- NPI assigned
- Jun 16, 2021
- Last updated
- Jul 2, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 347806 | NY | |
| Nurse Practitioner | 363L00000X | SP031519 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | 347806 | NY | |
| Registered Nurse | 163W00000X | 718071 | NY |
Addresses
Primary practice location
426 Airport Rd
Hazle Township, PA 18202-3361
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 459-9730
Other practice location 1
777 Clinton Ave S
Rochester, NY 14620-1448
Phone (585) 279-4800
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmullaney103243@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | kmullaney103243@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.84 of 100
- Quality
- 68.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718071 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients |
Locations
470 Collins St
Avon, NY 14414
Phone (585) 226-2640
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#320
Rochester, NY 14642
777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-0172
426 Airport Rd
#532535
Hazle Township, PA 18202
Phone (570) 459-9731
Interoperability endpoints
- kmullaney642531@direct.geisinger.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.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Pediatrics Physician
- Scranton, PA
- NPI 1952995482
-
- Family Medicine Physician
- Rochester, NY
- NPI 1740220698
-
dba Highland Hospital Outpatient Pharmacy
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1629646427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-459-9730",
"fax_number": "570-459-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 AIRPORT RD",
"city": "HAZLE TOWNSHIP",
"state": "PA",
"postal_code": "182023361",
"telephone_number": "570-459-9730",
"fax_number": "570-459-9736"
}
],
"practiceLocations": [
{
"address_1": "777 Clinton Ave S",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146201448",
"country_code": "US",
"telephone_number": "585-279-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLANEY",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "347806",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP031519",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347806",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "718071",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmullaney103243@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": "kmullaney103243@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": []
}
Other providers in Hazle Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.