Individual provider Active NPI

Vanessa Prilutskiy, PAS

  • Physician Assistant
  • Utica, NY
National Provider Identifier
1649978032
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
032953 Issued in NY
Practice address
601 State St
Utica, NY 13502-4208
Phone
(315) 360-5532
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 032953 NY Primary

Addresses

Primary practice location

601 State St
Utica, NY 13502-4208

Mailing address

200 Davis PL
New Hartford, NY 13413-1006
Phone (315) 360-5532

Other names 1

  • Vanessa Verenich Former name

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
I20241119004645 NY Practitioner - Physician Assistant 7517492135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central New York Cardiology, PCGroup PAC ID 3375530769, 28 clinicians

Practice addresses (Care Compare)

601 State St
Suite 200
Utica, NY 13502-4208
Phone (315) 733-7598

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Lewis County General Hospital Hospital, Lowville, NY, CCN 331317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032953NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Mar 1, 2025 Accepting new patients
MVHS Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

601 State St
Ste 200
Utica, NY 13502
Phone (315) 733-7598

601 State St
Utica, NY 13502
Phone (315) 624-6929

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: vprilutskiy@cnycardiology.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1649978032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DAVIS PL",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131006",
            "telephone_number": "315-360-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024208",
            "telephone_number": "315-360-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRILUTSKIY",
        "first_name": "VANESSA",
        "credential": "PAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "032953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "VERENICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.