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

Kelcy Wildt, PA

Individual provider Physician Assistant · NPI 1013586577

Kelcy Wildt, PA is a Physician Assistant in Rochester, New York. Qualified in 2021, 5 years ago. Practices with The Unity Hospital of Rochester, a 732-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone: (585) 723-7000
Fax: (585) 723-7280
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026759 (NY)

Record details

NPI number1013586577
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Unity Hospital Of Rochester — 732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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