Individual provider Active NPI

Sara K Willistein, PA-C

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1639584923
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021687 Issued in NY
Practice address
222 Alexander St Ste 3000
Rochester, NY 14607-4047
Phone
(585) 922-8350
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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 021687 NY Primary

Addresses

Primary practice location

222 Alexander St Ste 3000
Rochester, NY 14607-4047

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-8350

Other names 1

  • Sara K Schwab Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sschwab232081@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20180418001770 NY Practitioner - Physician Assistant 7911125463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

101 Canal Landing Blvd
Rochester, NY 14626-5109
Phone (585) 239-7300

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021687NYMDClinical Psychologist
021678NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Mar 19, 2018 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Mar 19, 2018 Accepting new patients
Rochester General Hospital CurrentSince Mar 19, 2018 Accepting new patients
Rochester General Hospital CurrentSince Mar 19, 2018 Accepting new patients

Locations

222 Alexander St
Ste 3000
Rochester, NY 14607
Phone (585) 922-8700

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: sschwab232081@direct.rochesterregional.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1639584923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-8350",
            "fax_number": "585-922-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST STE 3000",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074047",
            "telephone_number": "585-922-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISTEIN",
        "first_name": "SARA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sschwab232081@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "222 Alexander St Ste 3000",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146074047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SCHWAB",
            "middle_name": "K",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.