Mary C Haney, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

334029 Issued in NY

Practice address

2931 Military Rd
Niagara Falls, NY 14304-1251

Phone

(716) 298-4869

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Fetzer Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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.

• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Medicare reassignment NPD
• Niagara Falls Physician Associates P.C.

  • Gastroenterology Physician
  • Niagara Falls, NY
  • NPI 1568525871
  Medicare reassignment NPD
• R & B Medical Group, LLP

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1639242407
  Medicare reassignment NPD
• Wny House Physician PLLC

  • Internal Medicine Physician
  • Amherst, NY
  • NPI 1003449745
  Medicare reassignment NPD
• Mobile Primary Care Family Nurse Practitioners, PLLC

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1669673349
  NPD
• Niagara Falls Memorial Medical Center

  • Oncology Clinic/Center
  • Niagara Falls, NY
  • NPI 1144842816
  NPD
• Crystal Springs Medical PC

  • Clinic/Center
  • Lockport, NY
  • NPI 1295756286
  NPD (past)
• Olivia Smith-Blackwell MD PC

  • Family Medicine Physician
  • North Tonawanda, NY
  • NPI 1609802867
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1083670293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041251",
            "telephone_number": "716-298-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02505782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FETZER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Haley
• Barbara Hall-Griesmann, LCSW
• Joanne Hambridge, NURSE PRACTITIONER
• Angelina Hamilton
• Rebecca A Hamilton, BCD
• Kara Rose Hanrahan, NP
• Carly J Hansen, RDN
• Laura Harding
• Juliane Harmon-Kenney, DDS
• Tracy Harp

• Family Nurse Practitioner in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.