Individual provider Active NPI

Robin Kent

  • Physician Assistant
  • Corning, NY
National Provider Identifier
1790755775
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009974 Issued in NY
Practice address
Corning Hospital
176 Denison Parkway East
Corning, NY 14830
Phone
(607) 937-7540
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 009974 NY Primary

Addresses

Primary practice location

Corning Hospital
176 Denison Parkway East
Corning, NY 14830

Mailing address

2278 Bailey Creek Rd
Suite 203
Millerton, PA 16936-9589

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robin.kent@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130107000091 PA Practitioner - Physician Assistant 5294797841 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009974NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tioga Health Care Providers, Inc Current Accepting new patients
Tioga Health Care Providers, Inc CurrentSince Dec 31, 2013 Accepting new patients
Tioga Health Care Providers Inc CurrentSince Dec 31, 2013 Accepting new patients

Locations

15 Meade St
Ste U4
Wellsboro, PA 16901
Phone (570) 723-6380

15 Meade St
Ste L1
Wellsboro, PA 16901
Phone (570) 723-0637

32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1790755775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 BAILEY CREEK RD",
            "address_2": "SUITE 203",
            "city": "MILLERTON",
            "state": "PA",
            "postal_code": "169369589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNING HOSPITAL",
            "address_2": "176 DENISON PARKWAY EAST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "14830",
            "telephone_number": "607-937-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robin.kent@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.