Individual provider Active NPI

Katherine Fitzpatrick

  • Physician Assistant
  • Poughkeepsie, NY
National Provider Identifier
1811366594
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019087 Issued in NY
Practice address
1910 South Rd Ste 115
Poughkeepsie, NY 12601-6053
Phone
(845) 454-0120
NPI assigned
Sep 23, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 019087 NY Primary

Addresses

Primary practice location

1910 South Rd Ste 115
Poughkeepsie, NY 12601-6053

Mailing address

200 Westage Business Ctr Dr
Suite 115
Fishkill, NY 12524-2264

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
I20160418001871 NY Practitioner - Physician Assistant 9931407368 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-7707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Orthopedic Assoc of Dutchess County P C CurrentSince Sep 5, 2017 Accepting new patients
Orthopedic Assoc of Dutchess County P C Physician Assistant CurrentSince Sep 5, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 21, 2017 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 115
Fishkill, NY 12524
Phone (845) 896-4178

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

3141 US Route 9W
Ste 100
New Windsor, NY 12553
Phone (845) 454-0120

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

1910 South Rd
Ste 115
Poughkeepsie, NY 12601
Phone (845) 454-0120

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1811366594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR",
            "address_2": "SUITE 115",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SOUTH RD STE 115",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016053",
            "telephone_number": "845-454-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.