Active NPI
Rachael Wiedel, PA
- Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 015821
- Practice address
- 2250 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2706 - Phone
- (585) 424-6770
- Fax
- (585) 424-6776
- NPI assigned
- Jul 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015821 | NY | Primary |
Addresses
Primary practice location
2250 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2706
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice location 1
8103 Oak Orchard Rd
Batavia, NY 14020-1092
Phone (585) 815-6735
Other practice location 2
1815 S Clinton Ave Ste 530
Rochester, NY 14618-5721
Phone (585) 442-4310
Other practice location 3
2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-9561
Other practice location 4
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
Other practice location 5
1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 359-2123
Other practice location 6
1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 723-7000
Other names 1
- Rachael Hogancamp
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rwiedel72083@direct.rochesterregional.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015821 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Physician Assistant | Current | Accepting new patients |
Locations
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
2250 Brighton Henrietta Town Line Rd
Rochester, NY 14623
Phone (585) 424-6770
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1104149301
Physician Assistant
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1841546827",
"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",
"fax_number": "585-922-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 BRIGHTON HENRIETTA TOWN LINE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232706",
"telephone_number": "585-424-6770",
"fax_number": "585-424-6776"
}
],
"practiceLocations": [
{
"address_1": "8103 Oak Orchard Rd",
"address_purpose": "LOCATION",
"city": "Batavia",
"state": "NY",
"postal_code": "140201092",
"country_code": "US",
"telephone_number": "585-815-6735",
"fax_number": "585-815-6752",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1815 S Clinton Ave Ste 530",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146185721",
"country_code": "US",
"telephone_number": "585-442-4310",
"fax_number": "585-442-6750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Coulter Rd",
"address_purpose": "LOCATION",
"city": "Clifton Springs",
"state": "NY",
"postal_code": "144321122",
"country_code": "US",
"telephone_number": "315-462-9561",
"fax_number": "585-462-2938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213001",
"country_code": "US",
"telephone_number": "585-922-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Driving Park Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NY",
"postal_code": "145131090",
"country_code": "US",
"telephone_number": "315-359-2123",
"fax_number": "315-359-2167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1555 Long Pond Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264164",
"country_code": "US",
"telephone_number": "585-723-7000",
"fax_number": "585-723-7871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEDEL",
"first_name": "RACHAEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015821",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rwiedel72083@direct.rochesterregional.org",
"affiliation": "N",
"endpointDescription": "Rochester Regional Health",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2250 Brighton Henrietta Town Line Rd",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146232706",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "HOGANCAMP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.