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TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
NPI 1134329220
Family Medicine in Geneseo, NY

Active since July 18, 2007CLIA 33D0974335 · Waiver
50 E SOUTH ST STE 700, GENESEO, NY 14454(585) 243-1700(585) 243-5355 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2025, Nov 3, 2025, Feb 10, 2025 and 3 more (6 updates tracked since 2017).

About Tri-county Family Medicine Program, Inc. NPPES

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

TRI-COUNTY FAMILY MEDICINE PROGRAM, INC. (NPI 1134329220) is a healthcare organization registered as a family medicine in Geneseo, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Karen A Stone, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134329220
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
Location Address50 E SOUTH ST STE 700Geneseo, NY 14454-1387
Mailing Address10869 State Route 36Dansville, NY 14437-9444 · (585) 335-3100 · Fax (585) 335-8695
Phone(585) 243-1700
Fax(585) 243-5355
Organization SubpartNo
Authorized OfficialKaren A StoneCeo · (585) 519-1575
Enumeration DateJuly 18, 2007
Last NPPES UpdateJune 16, 20266 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1134329220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
50 E SOUTH ST STE 700, Geneseo, NY 14454
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-county Family Medicine Program, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Tri-County Family Medicine Program, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice7
Nurse Practitioner5

Clinicians, nearest first (12)

Katie Dempsey, FNP-BC
Nurse Practitioner
NPI 1457249997
50 E SOUTH ST STE 700
Geneseo, NY 14454
(585) 243-1700
✔ PECOS✔ Accepts MedicareSame address
Melinda Tellier, FNP
Nurse Practitioner
NPI 1861706913
50 E SOUTH ST STE 700
Geneseo, NY 14454
(585) 243-1700
✔ PECOS✔ Accepts MedicareSame address
Nichole Murphy, NP
Nurse Practitioner
NPI 1366045312
50 E SOUTH ST STE 700
Geneseo, NY 14454
(585) 243-1700
✔ PECOS✔ Accepts Medicare0.6 mi
Erin Douthit, AGNP-C
Nurse Practitioner
NPI 1588391825
60 RED JACKET ST STE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare18 mi
Allison Mckeown, DO
Family Practice
NPI 1215592332
60 RED JACKET ST
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare18 mi
Ayesha Tasaddaq, MD
Family Practice
NPI 1972831782
60 RED JACKET ST SUITE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare18 mi
Colleen Tracy, MD
Family Practice
NPI 1003313206
60 RED JACKET ST STE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare18 mi
Geoffrey Wittig, MD
Family Practice
NPI 1962460014
60 RED JACKET ST STE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare18 mi
Joseph Depra, MD
Family Practice
NPI 1851379929
200 N MAIN ST
Wayland, NY 14572
(585) 728-5131
✔ PECOS✔ Accepts Medicare19 mi
Shelby Gross, FNP-C
Nurse Practitioner
NPI 1376026856
12 N CHURCH ST
Canaseraga, NY 14822
(607) 545-2111
✔ PECOS✔ Accepts Medicare23 mi
Bruce Mackellar, MD
Family Practice
NPI 1093769358
12 N CHURCH ST
Canaseraga, NY 14822
(607) 545-2111
✔ PECOS✔ Accepts Medicare23 mi
Richard Parker, MD
Family Practice
NPI 1710972013
25 PARK AVENUE
Cohocton, NY 14826
(585) 384-5310
✔ PECOS✔ Accepts Medicare26 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0974335

Tri-County Family Medicine Program · Geneseo, NY
Active · expires Mar 26, 2027
CLIA Number33D0974335
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 5, 2000
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorNadine R. Bailey
Laboratory Phone(585) 243-1700
Laboratory LocationTri-County Family Medicine Program50 E South St - Suite 700, Geneseo, NY 14454
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tri-County Family Medicine Program, Inc.'s NPI number?

The NPI number for Tri-County Family Medicine Program, Inc. is 1134329220. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Tri-County Family Medicine Program, Inc. located?

Tri-County Family Medicine Program, Inc. is located at 50 E South St Ste 700, Geneseo, NY 14454. The listed phone number is (585) 243-1700.

What is Tri-County Family Medicine Program, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tri-County Family Medicine Program, Inc. enrolled in Medicare?

Yes. Tri-County Family Medicine Program, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-County Family Medicine Program, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Tri-County Family Medicine Program, Inc.. A 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 the clinician's services. The largest specialties are Family Practice (7) and Nurse Practitioner (5). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-County Family Medicine Program, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0974335) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri-County Family Medicine Program, Inc. was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.