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

Caitlin L Tillack, ANP

Individual provider Gerontology Nurse Practitioner · NPI 1124588660

Caitlin L Tillack, ANP is a Nurse Practitioner in Canandaigua, New York. Qualified in 2018, 8 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019

Practice location Address checks out

401 S Main St Ste 200
Canandaigua, NY 14424-2157
Phone: (585) 394-1875
Fax: (585) 394-1878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 309029 (NY)

Record details

NPI number1124588660
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Canandaigua