Active NPI
Kelsey Ann Habermehl, FNP-C
- Family Nurse Practitioner
- West Seneca, NY
National Provider Identifier
1063075646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 343973
- Practice address
- 2240 Southwestern Blvd
West Seneca, NY 14224-4423 - Phone
- (716) 209-6346
- NPI assigned
- Apr 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 720365 | NY | |
| Family Nurse Practitioner | 363LF0000X | 343973 | NY | Primary |
Addresses
Primary practice location
2240 Southwestern Blvd
West Seneca, NY 14224-4423
Mailing address
2240 Southwestern Blvd
West Seneca, NY 14224-4423
Phone (716) 209-6346
Other names 1
- Kelsey Ann Dickerson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720365 | NY | MD | Registered Nurse |
| 343973 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel a. Snitzer, MD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1063075646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 SOUTHWESTERN BLVD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142244423",
"telephone_number": "716-209-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 SOUTHWESTERN BLVD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142244423",
"telephone_number": "716-209-6346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERMEHL",
"first_name": "KELSEY",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "720365",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "DICKERSON",
"middle_name": "ANN",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.