Individual provider Active NPI

Cheryl A Kast, PA

  • Physician Assistant
  • Albion, NY
National Provider Identifier
1962456582
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005778 Issued in NY
Practice address
301 West Ave
Albion, NY 14411-1522
Phone
(585) 589-5613
Fax
(585) 589-2375
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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 005778 NY Primary
Physician Assistant 363A00000X TX

Addresses

Primary practice location

301 West Ave
Albion, NY 14411-1522

Mailing address

300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905

Other identifiers 1

IdentifierTypeStateIssuer
02346674MedicaidNY

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
I20121222000032 NY Practitioner - Physician Assistant 6709972441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orleans Community Health 20 clinicians

Practice addresses (Care Compare)

14789 Route 31
Albion, NY 14411-9709
Phone (585) 589-2273

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Rochester) Home health agency, Rochester, NY, CCN 337257
  • Medina Memorial Hospital Hospital, Medina, NY, CCN 331319
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5778NYMDMental Health Counselor
005778NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Community Health CurrentSince Jan 18, 2023 Accepting new patients
Orleans Community Health Past Accepting new patients
Orleans Community Health Past Accepting new patients
Frederick R Downs MD Past Accepting new patients

Locations

14789 State Route 31
Albion, NY 14411
Phone (585) 589-2273

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

Interoperability endpoints

  • Direct secure messaging: cheryl.kast@och.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1962456582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-637-3905",
            "fax_number": "585-637-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST AVE",
            "city": "ALBION",
            "state": "NY",
            "postal_code": "144111522",
            "telephone_number": "585-589-5613",
            "fax_number": "585-589-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005778",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02346674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, NY

Sources for this page

Verify at the official NPI Registry.