MS. KRISTIE KEENE PA
NPI 1417371600
Physician Assistant - Surgical in Rochester, NY

Active since February 10, 2014PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621(585) 922-4715(585) 922-3950 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kristie Keene Pa NPPES

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

MS. KRISTIE KEENE PA (NPI 1417371600) is an individual surgical provider in Rochester, New York, licensed in New York (017293) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417371600
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KRISTIE KEENECredential: PA
Location Address1415 PORTLAND AVE STE 245Rochester, NY 14621-3022
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-4715 · Fax (585) 922-3950
Fax(585) 922-3950
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 10, 2014
Last NPPES UpdateJanuary 20, 2020
NPI 1417371600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 017293
1415 PORTLAND AVE STE 245, Rochester, NY 14621

Other Names 1

Former Name (1)Kristie Gensheimer Pa

Secondary Practice Locations 2

Location 120 Hagen Dr Ste 320Rochester, NY 14625-2664 · Phone (585) 922-4715 · Fax (585) 922-3950
Location 21561 Long Pond Rd Ste 110Rochester, NY 14626-4136 · Phone (585) 922-4715 · Fax (585) 922-3950

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

Ms. Kristie Keene Pa 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 ID3971939737
PECOS Enrollment IDI20200214001489
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 2

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.
42 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services30 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

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

Other Providers at the Same Location NPPES 13

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

Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery (Surgical Oncology)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Obstetrics & Gynecology (Gynecologic Oncology)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Nurse Practitioner
1415 PORTLAND AVE STE 245
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 Kristie Keene's NPI number?

The NPI number for Kristie Keene is 1417371600. It was assigned to this individual provider in the NPPES registry on February 10, 2014. The provider is also known as Kristie Gensheimer PA.

Where is Kristie Keene located?

Kristie Keene practices at 1415 Portland Ave Ste 245, Rochester, NY 14621. The listed phone number is (585) 922-4715.

What is Kristie Keene's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kristie Keene enrolled in Medicare?

Yes. Kristie Keene 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 Kristie Keene affiliated with any hospitals?

According to CMS data, Kristie Keene is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Kristie Keene was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.