Individual provider Active NPI

Constance M Campanella, FNP

  • Nurse Practitioner
  • Cheektowaga, NY
National Provider Identifier
1093776833
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F332665 Issued in NY
Practice address
2625 Harlem Rd
Suite 240
Cheektowaga, NY 14225-4031
Phone
(716) 895-4400
Fax
(716) 892-5510
NPI assigned
Mar 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F332665 NY Primary

Addresses

Primary practice location

2625 Harlem Rd
Suite 240
Cheektowaga, NY 14225-4031

Mailing address

2625 Harlem Rd
Suite 240
Cheektowaga, NY 14225-4031
Phone (716) 895-4400

Other identifiers 5

IdentifierTypeStateIssuer
0002724801OtherNYUNIVERA
9512859OtherNYINDEPENDENT HEALTH
000560990001OtherNYBLUE SHIELD OF WNY
00027248002OtherNYUNIVERA
02730683MedicaidNY

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
I20060314000409 NY Practitioner - Nurse Practitioner 2264449305 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F332665NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Sep 22, 2024 Accepting new patients
Digestive Health Physicians, P.C. CurrentSince Feb 6, 2006 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

280 Center Rd
Buffalo, NY 14224

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2625 Harlem Rd
Ste 240
Cheektowaga, NY 14225
Phone (716) 893-0333

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

260 Center Rd
West Seneca, NY 14224
Phone (716) 677-4178

30 N Union Rd
Ste 102
Williamsville, NY 14221
Phone (716) 839-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093776833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 240",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-895-4400",
            "fax_number": "716-892-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 240",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-895-4400",
            "fax_number": "716-892-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "CONSTANCE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F332665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0002724801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512859",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WNY",
            "identifier": "000560990001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027248002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02730683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.