Individual provider Active NPI

Michele Lynn Elia, NP

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1114170651
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335731-1 Issued in NY
Practice address
565 Abbott Rd
Mercy Hospital of Buffalo
Buffalo, NY 14220-2039
Phone
(716) 828-2434
Fax
(716) 828-3417
NPI assigned
Oct 28, 2008
Last updated
May 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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 F335731-1 NY Primary

Addresses

Primary practice location

565 Abbott Rd
Mercy Hospital of Buffalo
Buffalo, NY 14220-2039

Mailing address

5208 Dorst St
Hamburg, NY 14075-6620
Phone (716) 445-1343

Other identifiers 1

IdentifierTypeStateIssuer
F335731-1OtherNYNYS LICENSE

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
I20090924000493 NY Practitioner - Nurse Practitioner 7618023185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Williamsville, NY 14221-5270
Phone (716) 422-0010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F335731-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Aug 1, 2020 Accepting new patients
Cogent Medical Care PC CurrentSince Apr 1, 2015 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

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

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

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

5470 Camp Rd
Ste 200
Hamburg, NY 14075
Phone (716) 646-2590

5844 Southwestern Blvd
Ste 500
Hamburg, NY 14075
Phone (716) 646-5500

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

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

101 Hospital Rd
Rm 263
Patchogue, NY 11772
Phone (631) 687-4131

3850 Saunders Settlement Rd
Sanborn, NY 14132
Phone (716) 898-2800

1000 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 932-7773

192 Park Club Ln
Williamsville, NY 14221
Phone (716) 422-0010

Interoperability endpoints

  • Direct secure messaging: melia@gppc.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, 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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1114170651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 DORST ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756620",
            "telephone_number": "716-445-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "address_2": "MERCY HOSPITAL OF BUFFALO",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "716-828-2434",
            "fax_number": "716-828-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIA",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335731-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "F335731-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.