Alesia Khmelnytskyy, PA- C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016832-1 Issued in NY

Practice address

1 Atwell Rd
Cooperstown, NY 13326-1301

Phone

(607) 547-3355

Fax

(607) 547-4719

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Medical Clinics LLCGroup PAC ID 3274617253, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.88 of 100Reported as group

Quality

80.34

Promoting interoperability

98

Improvement activities

40

Cost

77.59

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: akhmelnytskyy29945@bassett.direct-ci.net

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.

• Alaska Medical Clinics, LLC

  dba Wasilla Medical Clinic

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1316015480
  Medicare reassignment Care Compare group
• Alaska Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1518389303
  NPD (past)
• Glacier Point Chiropractic

  • Chiropractor
  • Wasilla, AK
  • NPI 1720898695
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1639505423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 JEFFERSON AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011635",
            "telephone_number": "315-327-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3355",
            "fax_number": "607-547-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHMELNYTSKYY",
        "first_name": "ALESIA",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016832-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhmelnytskyy1141336@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "345 W 104th Ave",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995152634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhmelnytskyy1141336@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "1861 E Parks Hwy",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joyce Eva Key, PTA
• Abdul Moez Khan, MD, MPH
• Sameera H Khan, RPA-C, RD
• Saniah Kamal Khan, MBBS
• Rahima Khatun, MD
• Sundal Khuwaja, MBBS
• Roudabeh Kiani, M.D.
• Maureen A Killackey, M.D.
• Tracy Jeanne Killian, RPH
• Laura A Kilty, M.D.

• Physician Assistant in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.