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KRISTEN F CARDONA NP
NPI 1760864011
Nurse Practitioner - Acute Care in Rochester, NY

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
2365 S CLINTON AVE STE 100, ROCHESTER, NY 14618(585) 442-5320(585) 442-5526 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, May 6, 2021 (2 updates tracked since 2021).

About Kristen F Cardona Np NPPES

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

KRISTEN F CARDONA NP (NPI 1760864011) is an individual acute care provider in Rochester, New York, licensed in New York (F430908-1) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1760864011
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKRISTEN F CARDONACredential: NP
Location Address2365 S CLINTON AVE STE 100Rochester, NY 14618-2663
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 442-5320 · Fax (585) 442-5526
Phone(585) 442-5320
Fax(585) 442-5526
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1760864011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F430908-1
2365 S CLINTON AVE STE 100, Rochester, NY 14618
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 Hagen Dr Ste 100Rochester, NY 14625-2658 · Phone (585) 442-5320 · Fax (585) 442-5526

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

Kristen F Cardona Np 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 ID5294041232
PECOS Enrollment IDI20150904001512
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
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.
21 services18 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 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.

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 8

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

NICOLE SIMOLO NP
Nurse Practitioner (Family)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 442-5320
AMANDA L BAXTER PA
Physician Assistant (Medical)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 442-5320
MRS. ERIN COLLEEN BEATTY N.P.
Nurse Practitioner (Acute Care)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 442-5320
LINDA L COLLINS NP
Nurse Practitioner (Adult Health)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 442-5320
STEPHANIE MERICA NP
Nurse Practitioner (Acute Care)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 442-5320
MS. REBECCA GUIDO FNP
Nurse Practitioner (Family)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 442-5320
MR. JOSHUA DAVID CALLEY RN FNP-C
Nurse Practitioner (Family)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 244-4771
JEFFREY S FITCH MD
Internal Medicine (Interventional Cardiology)
2365 S CLINTON AVE STE 100
ROCHESTER, NY 14618
Monroe County (585) 442-5320

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 Kristen Cardona's NPI number?

The NPI number for Kristen Cardona is 1760864011. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Kristen Cardona located?

Kristen Cardona practices at 2365 S Clinton Ave Ste 100, Rochester, NY 14618. The listed phone number is (585) 442-5320.

What is Kristen Cardona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kristen Cardona enrolled in Medicare?

Yes. Kristen Cardona 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 Kristen Cardona affiliated with any hospitals?

According to CMS data, Kristen Cardona is affiliated with United Memorial Medical Center and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Cardona was last updated on August 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.