REBECCA KAVANAUGH FNP
NPI 1215747357
Nurse Practitioner - Family in Rochester, NY

Q: What is Rebecca Kavanaugh's NPI number?

The NPI number for Rebecca Kavanaugh is 1215747357. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Q: What is Rebecca Kavanaugh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rebecca Kavanaugh was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2025PECOS EnrolledAccepts Medicare Assignment

10 MIRACLE MILE DR, ROCHESTER, NY 14623(585) 275-5321 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Rebecca Kavanaugh Fnp NPPES

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

REBECCA KAVANAUGH FNP (NPI 1215747357) is an individual family provider in Rochester, New York, licensed in New York (355406) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215747357

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameREBECCA KAVANAUGHCredential: FNP

Location Address10 MIRACLE MILE DRRochester, NY 14623-5851

Mailing Address10 Miracle Mile DrRochester, NY 14623-5851 · (585) 275-5321

Phone(585) 275-5321

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 10, 2025

NPPES CertifiedJanuary 10, 2025

✔ NPI 1215747357 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 · 355406

10 MIRACLE MILE DR, Rochester, NY 14623

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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 and accepts Medicare assignment

Rebecca Kavanaugh Fnp 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 ID8022512052

PECOS Enrollment IDI20250922001337

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.

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 14623 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.

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Other Providers at the Same Location NPPES 20

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

JOHN KELLEY PT, DPT

Physical Therapist (Orthopedic)