LYDIA M PROSPERO PA-C
NPI 1740742980
Physician Assistant - Medical in Rochester, NY

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
777 CANAL VIEW BLVD, ROCHESTER, NY 14623(585) 244-3430 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Dec 2, 2024, Apr 5, 2019 (3 updates tracked since 2019).

About Lydia M Prospero Pa-c NPPES

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

LYDIA M PROSPERO PA-C (NPI 1740742980) is an individual medical provider in Rochester, New York, licensed in New York (23585) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740742980
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLYDIA M PROSPEROCredential: PA-C
Location Address777 CANAL VIEW BLVDRochester, NY 14623-2825
Mailing Address777 Canal View BlvdRochester, NY 14623-2825 · (585) 244-3430
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1740742980 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 · 23585
777 CANAL VIEW BLVD, Rochester, NY 14623

Other Names 1

Former Name (1)Lydia M Stout Pa-c

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

Lydia M Prospero 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 ID941531164
PECOS Enrollment IDI20191018001342
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

Other Providers at the Same Location NPPES 2

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

Physician Assistant
777 CANAL VIEW BLVD
ROCHESTER, NY 14623
Advanced Practice Midwife
777 CANAL VIEW BLVD, SUITE 400
ROCHESTER, NY 14623

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 Lydia Prospero's NPI number?

The NPI number for Lydia Prospero is 1740742980. It was assigned to this individual provider in the NPPES registry on April 5, 2019. The provider is also known as Lydia M Stout Pa-C.

Where is Lydia Prospero located?

Lydia Prospero practices at 777 Canal View Blvd, Rochester, NY 14623. The listed phone number is (585) 244-3430.

What is Lydia Prospero's specialty?

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

Is Lydia Prospero enrolled in Medicare?

Yes. Lydia Prospero 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 Lydia Prospero affiliated with any hospitals?

According to CMS data, Lydia Prospero is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lydia Prospero was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.