NPIMap

Individual provider Active NPI

Annemarie Trevisani Labella, PA

  • Medical Physician Assistant
  • Utica, NY
National Provider Identifier
1710137765
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012802-1 Issued in NY
Practice address
116 Business Park Drive
1St Floor
Utica, NY 13502-6313
Phone
(315) 624-7000
Fax
(315) 793-1129
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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 012802-1 NY Primary

Addresses

Primary practice location

116 Business Park Drive
1St Floor
Utica, NY 13502-6313

Mailing address

116 Business Park Drive
1St Floor
Utica, NY 13502-6313
Phone (315) 624-7000

Other identifiers 2

IdentifierTypeStateIssuer
012802-1OtherNYLICENSE
03126423MedicaidNY

Other names 1

  • Miss Annemarie Trevisani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000126 NY Practitioner - Physician Assistant 6305908393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians
Digestive Disease Medicine of Central New York LLPGroup PAC ID 1254351141, 15 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

116 Business Park Dr
Suite 1
Utica, NY 13502-6313
Phone (315) 624-7000

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012802-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Jan 1, 2024 Accepting new patients
New York Medical Physician Associates PC CurrentSince Jun 12, 2024 Accepting new patients
New York Medical Physician Associates PC CurrentSince Jun 12, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

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

116 Business Park Dr
Ste 1
Utica, NY 13502
Phone (315) 624-7000

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

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1710137765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BUSINESS PARK DRIVE",
            "address_2": "1ST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026313",
            "telephone_number": "315-624-7000",
            "fax_number": "315-793-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BUSINESS PARK DRIVE",
            "address_2": "1ST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026313",
            "telephone_number": "315-624-7000",
            "fax_number": "315-793-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVISANI LABELLA",
        "first_name": "ANNEMARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012802-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "012802-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03126423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNEMARIE",
            "last_name": "TREVISANI",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.