KELLY SHINN MCADAM MD
NPI 1962514646
Student in an Organized Health Care Education/Training Program in Rochester, NY
About Kelly Shinn Mcadam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SHINN MCADAM MD (NPI 1962514646) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Shinn Mcadam Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Mcadam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Kelly Mcadam's NPI number?
The NPI number for Kelly Mcadam is 1962514646. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Kelly Mcadam located?
Kelly Mcadam practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2874.
What is Kelly Mcadam's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kelly Mcadam enrolled in Medicare?
Yes. Kelly Mcadam 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.
Which organization bills Medicare for Kelly Mcadam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcadam reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). 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 Kelly Mcadam'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 Kelly Mcadam was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelly Shinn Mcadam, MD · NPI 1962514646
Student in an Organized Health Care Education/Training Program provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1962514646 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 275-2874
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2005
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962514646) · Data from the CMS NPPES public registry.