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

Katie Pavlisko, PA

Individual provider Physician Assistant · NPI 1831224575

Katie Pavlisko, PA is a Physician Assistant in Rochester, New York. Graduated from University of Southern California Keck School of Medicine in 2005, 21 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
21
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2250 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2706
Phone: (585) 424-6770
Fax: (585) 424-6776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8737 Beverly Blvd Ste 303, West Hollywood, CA 90048-1839 — (310) 659-6889

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 020659 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA17955 (CA)

Record details

NPI number1831224575
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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