Individual provider Active NPI

Katie Rauber, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Penfield, NY
National Provider Identifier
1922436765
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401655 Issued in NY
Practice address
481 Penbrooke Dr Ste 6
Penfield, NY 14526-2044
Phone
(585) 388-6000
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401655 NY Primary

Addresses

Primary practice location

481 Penbrooke Dr Ste 6
Penfield, NY 14526-2044

Mailing address

481 Penbrooke Dr Ste 6
Penfield, NY 14526-2044
Phone (585) 388-6000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khorn86295@direct.urmc.rochester.edu Direct
Direct Messaging Address khorn86295@direct.urmc.rochester.edu 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208000552 NY Practitioner - Nurse Practitioner 2860772811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penfield Psychiatry PCGroup PAC ID 2365693264, 24 clinicians

Practice addresses (Care Compare)

481 Penbrooke Dr
Suite 6
Penfield, NY 14526-2044
Phone (585) 388-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Current Accepting new patients
Internal Medicine Group CurrentSince Jan 3, 2017 Accepting new patients
University of Rochester CurrentSince Jun 16, 2018 Accepting new patients
University of Rochester CurrentSince Jun 16, 2018 Accepting new patients
Penfield Psychiatry PC CurrentSince Jan 16, 2024 Accepting new patients
Internal Medicine Group CurrentSince Jan 3, 2017 Accepting new patients

Locations

481 Penbrooke Dr
Ste 6
Penfield, NY 14526
Phone (585) 388-1110

2060 Fairport Nine Mile Point Rd
Ste 400
Penfield, NY 14526
Phone (585) 388-6000

300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: khorn86295@direct.urmc.rochester.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1922436765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR STE 6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-388-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR STE 6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-388-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUBER",
        "first_name": "KATIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khorn86295@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khorn86295@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.