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KELLY M BUBACZ FNP-C
NPI 1144760232
Nurse Practitioner - Family in Rochester, NY

Active since March 08, 2017PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
65 GENESEE ST, 1ST FLOOR, STE 3, ROCHESTER, NY 14611(585) 235-4860(585) 464-9047 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1144760232
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY M BUBACZCredential: FNP-C
Location Address65 GENESEE ST, 1ST FLOOR, STE 3Rochester, NY 14611
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 235-4860 · Fax (585) 464-9047
Phone(585) 235-4860
Fax(585) 464-9047
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 8, 2017
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1144760232 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 · 341631
65 GENESEE ST, 1ST FLOOR, STE 3, Rochester, NY 14611
Open in Google Maps ↗

Other Identifiers 1

Medicaid04811501NY

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8224307012
PECOS Enrollment IDI20170711001374
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services12 patients

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, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician 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.

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.

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

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.

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.