Individual provider Active NPI

Erin Manoles, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1730544776
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11961 Issued in MN
Practice address
200 Canal View Blvd Ste 100
Rochester, NY 14623-2850
Phone
(585) 444-8422
Fax
(585) 444-8815
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11961 MN Primary

Addresses

Primary practice location

200 Canal View Blvd Ste 100
Rochester, NY 14623-2850

Mailing address

200 Canal View Blvd Ste 100
Rochester, NY 14623-2850
Phone (585) 444-8422

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
I20250729000899 NY Practitioner - Physician Assistant 3072819549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flower City Dermatology PCGroup PAC ID 4082090923, 3 clinicians

Practice addresses (Care Compare)

200 Canal View Blvd
Suite 100
Rochester, NY 14623-2850
Phone (585) 444-8422

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Feb 7, 2016 Accepting new patients
Fairview Health Services CurrentSince Feb 7, 2016 Accepting new patients

Locations

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

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.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1730544776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CANAL VIEW BLVD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232850",
            "telephone_number": "585-444-8422",
            "fax_number": "585-444-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CANAL VIEW BLVD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232850",
            "telephone_number": "585-444-8422",
            "fax_number": "585-444-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLES",
        "first_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.