Active NPI
Krista Molison Clontz, ANP
- Adult Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 305074
- Practice address
- 85 High St
Buffalo
Buffalo, NY 14203-1149 - Phone
- (716) 630-1000
- Fax
- (716) 630-1054
- NPI assigned
- Feb 20, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 426857 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 305074 | NY | Primary |
Addresses
Primary practice location
85 High St
Buffalo
Buffalo, NY 14203-1149
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Other practice location 1
295 Essjay Rd
Williamsville, NY 14221-8216
Phone (716) 630-1000
Other practice location 2
3900 N Buffalo Rd.
Williamsville, NY 14221
Phone (716) 630-1000
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 High St
Buffalo, NY 14203-1149
Phone (716) 630-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.31 of 100
- Quality
- 87.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305074 | NY | MD | Obstetrics & Gynecology Physician |
| 426857 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Great Lakes Pathology PC | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo, New York | Current | Accepting new patients |
Locations
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
2157 Main St
#H
Buffalo, NY 14214
Phone (716) 862-1501
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050
Organizations & group practices 6
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
- Williamsville, NY
- NPI 1881659506
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1659396380
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": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1093955726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HIGH ST",
"address_2": "BUFFALO",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031149",
"telephone_number": "716-630-1000",
"fax_number": "716-630-1054"
}
],
"practiceLocations": [
{
"address_1": "295 Essjay Rd",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142218216",
"country_code": "US",
"telephone_number": "716-630-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3900 N Buffalo Rd.",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "14221",
"country_code": "US",
"telephone_number": "716-630-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLONTZ",
"first_name": "KRISTA",
"middle_name": "MOLISON",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "426857",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305074",
"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 Dec 11, 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.