Individual provider Active NPI

Lisa E Shevlin, PA

  • Surgical Physician Assistant
  • Rochester, NY
National Provider Identifier
1780780726
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
010080 Issued in NY
Practice address
360 Linden Oaks
Suite #300
Rochester, NY 14625-2814
Phone
(585) 383-8830
Fax
(585) 383-8918
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 010080 NY Primary

Addresses

Primary practice location

360 Linden Oaks
Suite #300
Rochester, NY 14625-2814

Mailing address

360 Linden Oaks
Suite #300
Rochester, NY 14625-2814
Phone (585) 383-8830

Other identifiers 1

IdentifierTypeStateIssuer
03124247MedicaidNY

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
I20040916001102 NY Practitioner - Physician Assistant 2163499245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1561 Long Pond Rd
Suite 220
Rochester, NY 14626-4135
Phone (585) 383-8830

360 Linden Oaks
Suite 300
Rochester, NY 14625-2814
Phone (585) 383-8830

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice, P.C. CurrentSince Jun 20, 2016 Accepting new patients
Rochester General Hospital CurrentSince Jun 20, 2016 Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 14, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Apr 14, 2024 Accepting new patients
Rochester General Hospital CurrentSince Jun 20, 2016 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jun 20, 2016 Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

360 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-8830

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: lshevlin24921@direct.rochesterregional.org

Organizations & group practices 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1780780726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS",
            "address_2": "SUITE #300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS",
            "address_2": "SUITE #300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVLIN",
        "first_name": "LISA",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03124247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.