Carrie Lynn Trabucco, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016483 Issued in NY

Practice address

297 Spindrift Dr
Williamsville, NY 14221-7894

Phone

(716) 831-2600

Fax

(716) 831-2601

NPI assigned

Jun 17, 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 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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western New York Dermatology PLLCGroup PAC ID 6103141619, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Western New York Dermatology, PLLC

  • Specialist
  • Williamsville, NY
  • NPI 1083030498
  Medicare reassignment Care Compare group
• Niagara Dermatology Associates LLC

  • Dermatology Physician
  • Lewiston, NY
  • NPI 1649610858
  Medicare reassignment

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1689013369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217894",
            "telephone_number": "716-831-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217894",
            "telephone_number": "716-831-2600",
            "fax_number": "716-831-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABUCCO",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2020-11-11",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carried@westernnyderm.directmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "297 Spindrift Dr",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142217894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carried@westernnyderm.directmail.com",
            "affiliation": "Y",
            "affiliationName": "Western New York Dermatology, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "297 Spindrift Dr",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142217894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda S Tosetto, PA
• Catherine Tota-Thurn, D.O.
• Camille Toth, L.M.T.
• George Toufexis, M.D.
• Town and Village Pediatrics, LLC
• Tracy L Chellino NP in Adult Health Wellness
• Katherine Tran, FNP
• Jason A. Tranquill, CRNA
• Natalie Marie Trapasso, RD
• Marieluise Trapnell

• Physician Assistant in Williamsville, NY
• Providers in Williamsville, 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 Nov 11, 2020; 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.