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

Kelsey A Mirabal, PA

Individual provider Physician Assistant · NPI 1346657962

Kelsey A Mirabal, PA is a Physician Assistant in Rochester, New York. Qualified in 2014, 12 years ago. Practices with Pulmonary Disease Clinical Group, a 65-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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

2701 Culver Rd
Rochester, NY 14622-2876
Phone: (585) 266-4000
Fax: (585) 266-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017693 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 17693 (NY)

Record details

NPI number1346657962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESJune 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pulmonary Disease Clinical Group — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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