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KATHLEEN A SUGRUE CNM, NP
NPI 1013426808
Advanced Practice Midwife in Henrietta, NY

Active since September 25, 2017PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
50 MIDDLE RD, HENRIETTA, NY 14467(585) 235-4860(585) 464-9047 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2025, Feb 20, 2019, Dec 7, 2017 (3 updates tracked since 2017).

About Kathleen A Sugrue Cnm, Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN A SUGRUE CNM, NP (NPI 1013426808) is an individual advanced practice midwife in Henrietta, New York, licensed in New York (001785) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1013426808
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKATHLEEN A SUGRUECredential: CNM, NP
Location Address50 MIDDLE RDHenrietta, NY 14467-9312
Mailing Address300 Red Creek Dr Ste 100Rochester, NY 14623-4283 · (585) 922-1900 · Fax (585) 922-0636
Phone(585) 235-4860
Fax(585) 464-9047
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 25, 2017
Last NPPES UpdateDecember 30, 20253 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1013426808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NY · 001785
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 421315 (NY)
50 MIDDLE RD, Henrietta, NY 14467
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Secondary Practice Location 1

Location 1300 Red Creek Dr Ste 100Rochester, NY 14623-4283 · Phone (585) 473-2846

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen A Sugrue Cnm, Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527325604
PECOS Enrollment IDI20190308002215
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kathleen Sugrue reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western New York Medical Practice, PC
0.1 mi
Orthopaedic Surgery
125 RED CREEK DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
NPI 1568868388 (585) 321-0110
Park West Women's Health, PC
0.1 mi
Obstetrics & Gynecology
300 RED CREEK DR STE 100
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1053374553 (585) 473-2846
Rochester General Hospital
2.5 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100
The Unity Hospital Of Rochester
6.8 mi
Rehabilitation, Substance Use Disorder
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
Rochester, NY 14608
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1689891178 (585) 368-6900
Clifton Springs Sanitarium Co
26 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KEVIN LIU NP
Nurse Practitioner (Family)
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 321-4350
MRS. KYLIE ALYSSA NELSON NP
Nurse Practitioner (Family)
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 321-4350
KRISTEN E DYER NP
Nurse Practitioner (Adult Health)
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 321-4350
REBECCA LYNN GUESS PA-C
Physician Assistant (Surgical)
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 723-7600
CHRISTOPHER R. HAYDANEK DO
Family Medicine
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 321-5350
AMY CHAO MD
Family Medicine
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 321-4350
ABBY SUE KOHL PA-C
Physician Assistant (Medical)
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 723-7600
MARC LEE SWEENEY PA-C
Physician Assistant (Surgical)
50 MIDDLE RD
HENRIETTA, NY 14467
Monroe County (585) 723-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Sugrue's NPI number?

The NPI number for Kathleen Sugrue is 1013426808. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Kathleen Sugrue located?

Kathleen Sugrue practices at 50 Middle Rd, Henrietta, NY 14467. The listed phone number is (585) 235-4860.

What is Kathleen Sugrue's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kathleen Sugrue enrolled in Medicare?

Yes. Kathleen Sugrue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kathleen Sugrue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Sugrue reassigns Medicare benefits to 5 organizations: Western New York Medical Practice, PC (Rochester, NY), Park West Women's Health, PC (Rochester, NY), Rochester General Hospital (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY) and Clifton Springs Sanitarium Co (Clifton Springs, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Sugrue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kathleen Sugrue affiliated with any hospitals?

According to CMS data, Kathleen Sugrue is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Sugrue was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.