NPIMap

Individual provider Active NPI

Ann Grimaldi, NURSE PRACTIONER

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1104409788
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310214 Issued in NY
Practice address
40 La Riviere Dr Ste 140
Buffalo, NY 14202-4306
Phone
(716) 893-1010
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 310214 NY Primary

Addresses

Primary practice location

40 La Riviere Dr Ste 140
Buffalo, NY 14202-4306

Mailing address

40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Phone (716) 893-1010

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
I20210528001311 NY Practitioner - Nurse Practitioner 4082013735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

40 La Riviere Dr
Suite 140
Buffalo, NY 14202-4306
Phone (716) 893-1010

Hospital & facility affiliations

  • Amedisys Home Health Care (Amherst) Home health agency, Williamsville, NY, CCN 337248
  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Mobile Medical Care PC CurrentSince Apr 25, 2025 Accepting new patients
Mobile Physician Services PLLC CurrentSince May 15, 2021 Accepting new patients

Locations

220 Richmond Ave
Batavia, NY 14020
Phone (585) 345-2000

40 La Riviere Dr
Ste 140
Buffalo, NY 14202

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

2365 Union Rd
Cheektowaga, NY 14227
Phone (716) 668-8100

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

1229 Trumansburg Rd
Ithaca, NY 14850
Phone (315) 797-3570

7264 Nash Rd
North Tonawanda, NY 14120
Phone (716) 694-7700

2987 Seneca St
West Seneca, NY 14224
Phone (716) 652-1560

2699 Wehrle Dr
Williamsville, NY 14221
Phone (716) 631-8863

Interoperability endpoints

  • Direct secure messaging: agrimaldi@mobileprimarycare.medentdirect.com

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1104409788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LA RIVIERE DR STE 201",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024344",
            "telephone_number": "716-893-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LA RIVIERE DR STE 140",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024306",
            "telephone_number": "716-893-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "ANN",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.