Unknown Individual – Adult Health Nurse Practitioner, NPI 1104959147
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
400 INTERNATIONAL DR
WILLIAMSVILLE, NY 142215771
Phone: (716) 631-3555
Fax: (716) 631-9525
Type: Mailing
100 COLLEGE PARKWAY
SUITE 220
WILLIAMSVILLE, NY 14221
Phone: (716) 626-9900
Fax: (716) 626-9100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-09-18 • Largest payer in this snapshot: Abbott Laboratories ($23).
Total Amount
$29
General + Research + Ownership
Payments
2
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $23 |
| SPR Therapeutics, Inc | $6 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 14221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Physical Therapist In Private Practice | NY | |
| Internal Medicine | NY | |
| Family Practice | NY | |
| Nurse Practitioner | NY | |
| C H I R O P R A C T I C | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| - | NY |
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