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

Mary Carol Kretsch, NP

Individual provider Surgical Physician Assistant · NPI 1679187736

Mary Carol Kretsch, NP is a Nurse Practitioner in Rochester, New York. Qualified in 2020, 6 years ago. Practices with United Memorial Medical Center, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone: (585) 723-7017
Fax: (585) 723-7224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 127 North St, Batavia, NY 14020-1631 — (585) 344-5201

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence 431872 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 025677 (NY)

Record details

NPI number1679187736
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 4, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice United Memorial Medical Center — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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