Individual provider Active NPI

Elizabeth Anne Corbett-Renner, RPAC-PT

  • Specialist
  • Rochester, NY
National Provider Identifier
1922075480
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
009588 Issued in NY
Practice address
675 Atlantic Ave
Rochester, NY 14609
Phone
(585) 288-1260
Fax
(585) 654-6053
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006888-1 NY
Specialist 174400000X 009588 NY Primary

Addresses

Primary practice location

675 Atlantic Ave
Rochester, NY 14609

Mailing address

675 Atlantic Ave
Rochester, NY 14609
Phone (585) 288-1260

Other names 1

  • Mrs. Elizabeth Anne Renner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080125000419 NY Practitioner - Physical Therapist in Private Practice 9032291372 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester, NY
I20091020000328 NY Practitioner - Physician Assistant 9032291372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

30 Hagen Dr
Rochester, NY 14625-2658

675 Atlantic Ave
Rochester, NY 14609-7421
Phone (585) 288-1260

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009588NYMDOptician
006888-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice PC CurrentSince Apr 11, 2018 Accepting new patients
Elizabeth Corbett Renner Specialist CurrentSince Jan 1, 1990 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Apr 11, 2018 Accepting new patients
Greater Rochester Orthopaedics, PC PastSince Aug 1, 2002 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

30 Hagen Dr
Ste 230
Rochester, NY 14625
Phone (585) 381-0140

30 Hagen Dr
Ste 220
Rochester, NY 14625
Phone (585) 295-5476

10 Hagen Dr
Ste 110
Rochester, NY 14625
Phone (585) 267-7855

1415 Portland Ave
Ste 560
Rochester, NY 14621
Phone (585) 342-2410

10 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 723-2813

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

675 Atlantic Ave
Rochester, NY 14609
Phone (585) 288-1260

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 5

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1922075480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 ATLANTIC AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14609",
            "telephone_number": "585-288-1260",
            "fax_number": "585-654-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ATLANTIC AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14609",
            "telephone_number": "585-288-1260",
            "fax_number": "585-654-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT-RENNER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RPAC-PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006888-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "009588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RENNER",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "RPAC-PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.