AMANDA PROCACCINI PA-C
NPI 1215774393
Physician Assistant - Medical in Rochester, NY

Active since July 15, 2024PECOS EnrolledAccepts Medicare Assignment
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Jul 15, 2024 (2 updates tracked since 2024).

About Amanda Procaccini Pa-c NPPES

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

AMANDA PROCACCINI PA-C (NPI 1215774393) is an individual medical provider in Rochester, New York, licensed in New York (032137) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215774393
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA PROCACCINICredential: PA-C
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 15, 2024
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1215774393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 032137
1425 PORTLAND AVE, Rochester, NY 14621

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

Amanda Procaccini Pa-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 ID9032641873
PECOS Enrollment IDI20241017001361
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.

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

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.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Amanda Procaccini's NPI number?

The NPI number for Amanda Procaccini is 1215774393. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Amanda Procaccini located?

Amanda Procaccini practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Amanda Procaccini's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Procaccini enrolled in Medicare?

Yes. Amanda Procaccini 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 Amanda Procaccini affiliated with any hospitals?

According to CMS data, Amanda Procaccini is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Procaccini was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.