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MELINDA SUE MACCORMACK PA
NPI 1992968911
Physician Assistant - Surgical in Rochester, NY

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7000 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melinda Sue Maccormack Pa NPPES

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

MELINDA SUE MACCORMACK PA (NPI 1992968911) is an individual surgical provider in Rochester, New York, licensed in New York (012940) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992968911
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMELINDA SUE MACCORMACKCredential: PA
Location Address1555 LONG POND RDRochester, NY 14626-4122
Mailing Address1555 Long Pond RdRochester, NY 14626-4122 · (585) 723-7000
Phone(585) 723-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1992968911 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 · 012940
1555 LONG POND RD, Rochester, NY 14626
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Other Names 1

Former Name (1)Melinda Sue Ipsaro Pa

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

Melinda Sue Maccormack 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 ID1658421201
PECOS Enrollment IDI20090603000028
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.

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070

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 Melinda Maccormack's NPI number?

The NPI number for Melinda Maccormack is 1992968911. It was assigned to this individual provider in the NPPES registry on July 9, 2008. The provider is also known as Melinda Sue Ipsaro PA.

Where is Melinda Maccormack located?

Melinda Maccormack practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7000.

What is Melinda Maccormack's specialty?

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

Is Melinda Maccormack enrolled in Medicare?

Yes. Melinda Maccormack 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.

When was this NPI record last updated?

The NPPES record for Melinda Maccormack was last updated on April 9, 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.