NPIMap

Individual provider Active NPI

Janet Marie Wysocki Freer, AGPCNP

  • Adult Health Nurse Practitioner
  • Medina, NY
National Provider Identifier
1063998607
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308784 Issued in NY
Practice address
100 Ohio St
Medina, NY 14103-1191
Phone
(585) 798-3345
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308784 NY Primary

Addresses

Primary practice location

100 Ohio St
Medina, NY 14103-1191

Mailing address

726 Exchange St
Buffalo, NY 14210-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918000818 NY Practitioner - Nurse Practitioner 3678824455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Physician PCGroup PAC ID 6800080649, 4 clinicians

Practice addresses (Care Compare)

53 Elizabeth Dr
Lockport, NY 14094-5226
Phone (716) 650-0373

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308784NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C CurrentSince May 13, 2022 Accepting new patients
Western New York Medical Practice P.C. CurrentSince May 13, 2022 Accepting new patients
General Physician, PC CurrentSince Jun 25, 2019 Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

100 Ohio St
Ste C
Medina, NY 14103
Phone (585) 589-1322

100 Ohio St
Medina, NY 14103
Phone (585) 798-2865

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: npfreer@kidneyandhypertension.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1063998607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OHIO ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031191",
            "telephone_number": "585-798-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOCKI FREER",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

Verify at the official NPI Registry.