NPIMap

Individual provider Active NPI

Laurie Thiele, PA

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1790707016
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006455 Issued in NY
Practice address
601 Elmwood Ave
Box 655
Rochester, NY 14642-0001
Phone
(585) 341-3015
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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 006455 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Box 655
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box 655
Rochester, NY 14642-0001
Phone (585) 341-3015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090518000149 NY Practitioner - Physician Assistant 2466501713 Reassigns benefits to 5 organizations
I20181130000147 AZ Practitioner - Physician Assistant 2466501713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas H Noyes Memorial HospitalGroup PAC ID 3072505536, 133 clinicians

Practice addresses (Care Compare)

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8639

50 E S St
Geneseo, NY 14454-1300
Phone (585) 243-9230

Hospital & facility affiliations

  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238
  • St James Hospital Hospital, Hornell, NY, CCN 330151

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
60.03
Promoting interoperability
99
Improvement activities
40
Cost
73.33

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
64.11
Promoting interoperability
99
Improvement activities
40
Cost
78.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6455NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center CurrentSince Nov 20, 2017 Accepting new patients
Rochester Urgent Care, PLLC Current Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince May 20, 2023 Accepting new patients
Emergency Physicians Professional Association LTD Past Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients

Locations

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

2701 Culver Rd
Rochester, NY 14622
Phone (585) 266-4000

Interoperability endpoints

  • Direct secure messaging: lthiele3256@direct.urmc.rochester.edu

Organizations & group practices 10

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 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1790707016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 655",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-341-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 655",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-341-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELE",
        "first_name": "LAURIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.