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MRS. KATHLEEN ROSE PARKER RN, PNP-BC
NPI 1316944770
Nurse Practitioner - Pediatrics in Rochester, NY

Active since June 30, 2005PECOS Enrolled
1555 LONG POND RD, ROCHESTER, NY 14626(585) 368-4012(585) 723-7470 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kathleen Rose Parker Rn, Pnp-bc NPPES

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

MRS. KATHLEEN ROSE PARKER RN, PNP-BC (NPI 1316944770) is an individual pediatrics provider in Rochester, New York, licensed in New York (380878-1) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316944770
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KATHLEEN ROSE PARKERCredential: RN, PNP-BC
Location Address1555 LONG POND RDRochester, NY 14626-4122
Mailing Address1555 Long Pond RdRochester, NY 14626-4122 · (585) 368-4012 · Fax (585) 723-7470
Phone(585) 368-4012
Fax(585) 723-7470
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1316944770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 380878-1
1555 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Other Identifiers 4

Other9512159Iha
Medicaid01877861NY
Other000560245002Comm Blue
OtherNP0052Pref Care

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Rose Parker Rn, Pnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Parker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western New York Medical Practice P.C
5.3 mi
Urgent Care
470 LONG POND RD
Rochester, NY 14612
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
NPI 1154834877 (585) 338-1200
United Memorial Medical Center
27 mi
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1669747085 (585) 343-6030

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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.

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070
VATSALA GOVIND KIRTANI M.D.
Internal Medicine (Hematology & Oncology)
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 922-4020

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 Kathleen Parker's NPI number?

The NPI number for Kathleen Parker is 1316944770. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Kathleen Parker located?

Kathleen Parker practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 368-4012.

What is Kathleen Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathleen Parker enrolled in Medicare?

Yes. Kathleen Parker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Parker reassigns Medicare benefits to 2 organizations: Western New York Medical Practice P.C (Rochester, NY) and United Memorial Medical Center (Batavia, NY). Each 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 Kathleen Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Parker was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.