NPIMap

Individual provider Active NPI

Kathryn Marie Wilbur, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1780545343
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358193 Issued in NY
Practice address
1561 Long Pond Rd Ste 120
Rochester, NY 14626-4135
Phone
(585) 922-4020
Fax
(585) 723-7551
NPI assigned
Nov 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 358193 NY Primary

Addresses

Primary practice location

1561 Long Pond Rd Ste 120
Rochester, NY 14626-4135

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

127 North St
Batavia, NY 14020-1631
Phone (585) 344-5252

Other practice location 2

20 Hagen Dr Ste 100
Rochester, NY 14625-2665
Phone (585) 922-4020

Other practice location 3

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4020

Other practice location 4

2 Coulter Rd Ste 2615
Clifton Springs, NY 14432-1122
Phone (315) 462-1472

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address koffermann173684@direct.rochesterregional.org Direct

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
I20260401002323 NY Practitioner - Nurse Practitioner 8628553153 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1561 Long Pond Rd
Suite 414
Rochester, NY 14626-4117
Phone (585) 723-7750

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
358193NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: koffermann173684@direct.rochesterregional.org

Organizations & group practices 4

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 7

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": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1780545343",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264135",
            "telephone_number": "585-922-4020",
            "fax_number": "585-723-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 North St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201631",
            "country_code": "US",
            "telephone_number": "585-344-5252",
            "fax_number": "585-344-7497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hagen Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252665",
            "country_code": "US",
            "telephone_number": "585-922-4020",
            "fax_number": "585-922-4622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4020",
            "fax_number": "585-922-4622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd Ste 2615",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1472",
            "fax_number": "315-462-2639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koffermann173684@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "1561 Long Pond Rd Ste 120",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.