MRS. KATHERINE PHOUTHAVONG N.P.
NPI 1033669726
Nurse Practitioner - Family in Rochester, NY

Q: What is Katherine Phouthavong's NPI number?

The NPI number for Katherine Phouthavong is 1033669726. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Q: What is Katherine Phouthavong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 06, 2016PECOS Enrolled

601 ELWOOD AVE, BOX SURG/TXP, ROCHESTER, NY 14642(585) 275-5875 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Katherine Phouthavong N.p. NPPES

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

MRS. KATHERINE PHOUTHAVONG N.P. (NPI 1033669726) is an individual family provider in Rochester, New York, licensed in New York (341143) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033669726

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KATHERINE PHOUTHAVONGCredential: N.P.

Location Address601 ELWOOD AVE, BOX SURG/TXPRochester, NY 14642-0001

Mailing Address80 Derrick DrWest Henrietta, NY 14586-8915 · (585) 576-0290

Phone(585) 275-5875

Sole ProprietorNo

Enumeration DateOctober 6, 2016

✔ NPI 1033669726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 341143

601 ELWOOD AVE, Rochester, NY 14642

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katherine Phouthavong N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

AMY L LUCE NP

Psychiatry & Neurology (Neurology)

601 ELWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2559

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 Katherine Phouthavong's NPI number?

The NPI number for Katherine Phouthavong is 1033669726. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is Katherine Phouthavong located?

Katherine Phouthavong practices at 601 Elwood Ave Box Surg/Txp, Rochester, NY 14642. The listed phone number is (585) 275-5875.

What is Katherine Phouthavong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Phouthavong enrolled in Medicare?

Yes. Katherine Phouthavong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Phouthavong was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.