Active NPI
Kelly McLean, FNP-C
- Family Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344322
- Practice address
- 564 Niagara St
Buffalo, NY 14201 - Phone
- (716) 882-0366
- NPI assigned
- Mar 2, 2015
- 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 | 633253 | NY | |
| Family Nurse Practitioner | 363LF0000X | 344322 | NY | Primary |
Addresses
Primary practice location
564 Niagara St
Buffalo, NY 14201
Mailing address
564 Niagara St
Buffalo, NY 14201-1108
Phone (716) 882-0366
Other practice location 1
1315 Jefferson Ave
Buffalo, NY 14208-2102
Phone (716) 332-3797
Other practice location 2
564 Niagara St
Buffalo, NY 14201
Phone (716) 882-0366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
564 Niagara St
BLDG 2
Buffalo, NY 14201-1108
Phone (716) 882-0366
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633253 | NY | MD | Registered Nurse |
| 344322 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Medical Practice PLLC | Family | Current | Accepting new patients |
| Urban Family Practice PC | Family | Current | Accepting new patients |
Locations
2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663
322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788
564 Niagara St
Buffalo, NY 14201
Phone (716) 768-7700
564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026
1315 Jefferson Ave
Buffalo, NY 14208
Phone (716) 332-3797
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kelly.mclean@cinq-nyipa.medentdirect.com
- kelly.mclean@caremedicalpractice.medentdirect.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1811658883
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1063804920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011108",
"telephone_number": "716-882-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14201",
"telephone_number": "716-882-0366"
}
],
"practiceLocations": [
{
"address_1": "1315 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142082102",
"country_code": "US",
"telephone_number": "716-332-3797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "564 Niagara St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "14201",
"country_code": "US",
"telephone_number": "716-882-0366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEAN",
"first_name": "KELLY",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "633253",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "344322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.