Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Fanelli, PA-C

Individual provider Medical Physician Assistant · NPI 1588702500

Bethany Fanelli, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2002, 24 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group and accepts Medicare assignment. Licensed in District of Columbia and New York.

Years since qualifying
24
Licensed in
DC, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3001
Phone: (585) 922-4136
Fax: (585) 922-5761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 012533-1 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA030274 (DC)

Record details

NPI number1588702500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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