Individual provider Active NPI

Karen Wahl, REGISTERED NURSE

  • Registered Nurse
  • Wellsville, NY
National Provider Identifier
1114779923
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
456477-01 Issued in NY
Practice address
2956 Airway Rd
Wellsville, NY 14895-9329
Phone
(585) 593-6738
Fax
(585) 593-6768
NPI assigned
Apr 4, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 456477-01 NY Primary

Addresses

Primary practice location

2956 Airway Rd
Wellsville, NY 14895-9329

Mailing address

2956 Airway Rd
Wellsville, NY 14895-9329
Phone (585) 593-6738

Other names 1

  • Karen Pensyl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
456477-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany Council on Alcoholism and Substance Abuse, Inc. CurrentSince Apr 9, 2024 Accepting new patients

Locations

2956 Airway Rd
Wellsville, NY 14895
Phone (585) 593-6738

Organizations & group practices 1

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1114779923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 AIRWAY RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959329",
            "telephone_number": "585-593-6738",
            "fax_number": "585-593-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 AIRWAY RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148959329",
            "telephone_number": "585-593-6738",
            "fax_number": "585-593-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "KAREN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "456477-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PENSYL",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.