KELLY M BUBACZ FNP-C
NPI 1144760232
Nurse Practitioner - Family in Rochester, NY
About Kelly M Bubacz Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY M BUBACZ FNP-C (NPI 1144760232) is an individual family provider in Rochester, New York, licensed in New York (341631) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kelly M Bubacz Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Bubacz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14608
- Reassigned Medicare billing, New York enrollment
- 1,442 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rochester General Hospital
Acute Care Hospitals · Rochester, NYUnity Hospital
Acute Care Hospitals · Rochester, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelly Bubacz's NPI number?
The NPI number for Kelly Bubacz is 1144760232. It was assigned to this individual provider in the NPPES registry on March 8, 2017.
Where is Kelly Bubacz located?
Kelly Bubacz practices at 65 Genesee St, 1st Floor, Ste 3, Rochester, NY 14611. The listed phone number is (585) 235-4860.
What is Kelly Bubacz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Bubacz enrolled in Medicare?
Yes. Kelly Bubacz 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 organization bills Medicare for Kelly Bubacz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bubacz reassigns Medicare benefits to The Unity Hospital Of Rochester (Rochester, NY). The 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 Kelly Bubacz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Bubacz affiliated with any hospitals?
According to CMS data, Kelly Bubacz is affiliated with Rochester General Hospital and Unity Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Bubacz was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kelly M Bubacz, FNP-C · NPI 1144760232
Family physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since March 8, 2017.
## Identity
- **NPI:** 1144760232 (Entity type: Individual)
- **Enumerated:** March 8, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 341631 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 GENESEE ST, 1ST FLOOR, STE 3, Rochester, NY 14611
- **Phone:** (585) 235-4860 · **Fax:** (585) 464-9047
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Unity Hospital Of Rochester (NPI 1689891178, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 21, 2021
- **Other identifiers:** Medicaid 04811501 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1144760232) · Data from the CMS NPPES public registry.