Katherine Nettles, PA-C
Katherine Nettles, PA-C is a Medical Physician Assistant in Rochester, NY, registered under NPI 1215413521.
Getting there
The practice address on file is 1000 SOUTH AVE, Rochester, NY 14620. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 022924 | NY | Medical Physician Assistant primary |
| 22924 | NY | Medical Physician Assistant |
This provider holds licence 022924 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 6709126337
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New York | I20190319001291 | Practitioner - Physician Assistant |
| District of Columbia | I20240723003559 | Practitioner - Physician Assistant |
| Virginia | I20240802001685 | Practitioner - Physician Assistant |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. There are 3 separate enrolment records across 3 states (NY, DC, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AM0700X | Medical Physician Assistant Medical | 022924 | NY | primary |
| 363AM0700X | Medical Physician Assistant Medical | 22924 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1215413521 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 19, 2018 |
| Last updated | Apr 11, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA-C |
| Practice address |
1000 SOUTH AVE Rochester, NY 14620 (585) 473-2200 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 1 | 5 | 4 | 1 | 3 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 2 | 5 | 8 | 1 | 6 | 5 | 4 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.