Individual provider Active NPI

Anne Marie Veronica Bantle, FNP

  • Family Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1083044481
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338224 Issued in NY
Practice address
600 Harlem Rd
West Seneca, NY 14224-1151
Phone
(716) 332-2121
Fax
(716) 332-2122
NPI assigned
Nov 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338224 NY Primary

Addresses

Primary practice location

600 Harlem Rd
West Seneca, NY 14224-1151

Mailing address

600 Harlem Rd
West Seneca, NY 14224-1151
Phone (716) 332-2121

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720001054 NY Practitioner - Nurse Practitioner 9335452473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians

Practice addresses (Care Compare)

565 Abbott Rd
RM 8 632
Buffalo, NY 14220-2039
Phone (716) 828-2434

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338224NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Cogent Medical Care PC CurrentSince Oct 28, 2019 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Aug 1, 2016 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Aug 1, 2016 Accepting new patients
Wny Medical PC Family CurrentSince Sep 1, 2017 Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

5014 Transit Rd
Depew, NY 14043
Phone (716) 684-2273

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

Organizations & group practices 5

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 1

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": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1083044481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241151",
            "telephone_number": "716-332-2121",
            "fax_number": "716-332-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241151",
            "telephone_number": "716-332-2121",
            "fax_number": "716-332-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTLE",
        "first_name": "ANNE MARIE",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.