KATHLEEN B MCCULLOUGH NP
NPI 1508106709
Nurse Practitioner - Acute Care in Rochester, NY
About Kathleen B Mccullough Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN B MCCULLOUGH NP (NPI 1508106709) is an individual acute care provider in Rochester, New York, licensed in New York (F430654-1) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen B Mccullough Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14620
- Reassigned Medicare billing, New York enrollment
- 303 clinicians in this Medicare group
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 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mccullough's NPI number?
The NPI number for Kathleen Mccullough is 1508106709. It was assigned to this individual provider in the NPPES registry on February 25, 2013. The provider is also known as Kathleen A Bryant.
Where is Kathleen Mccullough located?
Kathleen Mccullough practices at 1000 South Ave, Rochester, NY 14620. The listed phone number is (585) 341-6780.
What is Kathleen Mccullough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kathleen Mccullough enrolled in Medicare?
Yes. Kathleen Mccullough is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Mccullough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mccullough reassigns Medicare benefits to Highland Hospital Of Rochester (Rochester, NY). The 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 Mccullough'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 Mccullough was last updated on July 7, 2023. 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.
# Kathleen B Mccullough, NP · NPI 1508106709
Acute Care physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since February 25, 2013.
## Identity
- **NPI:** 1508106709 (Entity type: Individual)
- **Enumerated:** February 25, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** F430654-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 SOUTH AVE, Rochester, NY 14620-2733
- **Phone:** (585) 341-6780 · **Fax:** (585) 341-8489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Highland Hospital Of Rochester (NPI 1376820241, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508106709) · Data from the CMS NPPES public registry.