NPIMap

Organization Active NPI

Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
National Provider Identifier
1861496358
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRILLIUM HEALTH, INC
Practice address
259 Monroe Avenue
Rochester, NY 14607-3632
Phone
(585) 545-7200
Fax
(585) 244-6456
NPI assigned
Jun 13, 2005
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Mr. Jason Barnecut-Kearns
Title
President/Ceo
Phone
(585) 210-4138

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

259 Monroe Avenue
Rochester, NY 14607-3632

Mailing address

259 Monroe Avenue
Rochester, NY 14607-3632
Phone (585) 545-7200

Other identifiers 1

IdentifierTypeStateIssuer
01230991MedicaidNY

Other names 1

  • Community Health Network Inc, Former D/B/A AIDS Community Health Cente Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000722 NY Part B Supplier - Clinic/Group Practice 9931095007 Receives reassigned benefits from 46 practitioners
2 other NPIs on this enrollment
Practice locations: Rochester, NY
O20160923000381 NY Part A Provider - Federally Qualified Health Center (FQHC) 9931095007 Practice locations: Rochester, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861496358. Details of each certification follow.

Federally qualified health center certification: CCN 571045

Legal name
TRILLIUM HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 4, 2016
Last certification
Nov 4, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
259 Monroe Ave
Rochester, NY 14607-3632

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason M Barnecut-Kearns Individual Corporate OfficerCeo Jan 1, 2021 100%
Operational/Managerial ControlCeo Jul 6, 2022 100%
James Vesper Individual Corporate OfficerChair Pro Tem Jul 1, 2024
Corporate DirectorDirector (Board) Jul 1, 2024
Jennison Bielemeier Individual Operational/Managerial ControlCfo Jan 31, 2023
Barry Jencik Individual Corporate OfficerBoard Treasurer Jul 1, 2024
Corporate DirectorDirector (Board) Jul 1, 2024
Patricia Gatlin Individual Corporate OfficerExecutive Compensation Member Jul 1, 2024
Corporate DirectorDirector (Board) Jul 1, 2024
William Clark Individual Corporate OfficerExecutive Compensation Member Jul 1, 2024
Corporate DirectorDirector (Board) Jul 1, 2024
Leslie Connolly Individual Corporate OfficerBoard Chair Jul 1, 2024
Corporate DirectorDirector (Board) Jul 14, 2015
Christopher Sardella Individual Corporate OfficerBoard Secretary Jul 1, 2024
Corporate DirectorDirector (Board) Jul 1, 2024

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1861496358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MONROE AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MONROE AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "BARNECUT-KEARNS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "585-210-4138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01230991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Network Inc, Former D/B/A AIDS Community Health Cente",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.