Kelly Marie Tucker, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F352150-01 Issued in NY

Practice address

6950 S Transit Rd
Lockport, NY 14094-6333

Phone

(716) 630-1335

Fax

(716) 817-1770

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buffalo-Niagara Hospitalists LLCGroup PAC ID 3375789050, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
• Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Merit-based Incentive Payment System (MIPS)

Final score

91.31 of 100Reported as group

Quality

87.9

Promoting interoperability

100

Improvement activities

40

Cost

83.14

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: production@direct.buffalomedicalgroup.com

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.

• Buffalo-Niagara Hospitalists LLC

  • Hospitalist Physician
  • Kenmore, NY
  • NPI 1871830208
  Medicare reassignment Care Compare group NPD
• Buffalo Medical Group, P.C.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1881659506
  Medicare reassignment NPD
• Buffalo Medical Group, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Lockport, NY
  • NPI 1982566782
  NPD

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

• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Care Compare affiliation
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1144003286",
    "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": "6950 S TRANSIT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946333",
            "telephone_number": "716-630-1335",
            "fax_number": "716-817-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Burt",
            "state": "NY",
            "postal_code": "140289712",
            "country_code": "US",
            "telephone_number": "716-425-2485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 N Buffalo St",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271842",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "fax_number": "716-817-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031194",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "fax_number": "716-817-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Essjay Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142218243",
            "country_code": "US",
            "telephone_number": "716-630-1335",
            "fax_number": "716-817-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352150-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "production@direct.buffalomedicalgroup.com",
            "affiliation": "N",
            "address_1": "325 Essjay Rd",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142218243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Lynn Trifiletti, LPN
• Gaylina True Trocha, RN
• Aleksandr Trokhimuk
• Michael T Trombitas, D.C.
• Leleya Tsygyrlash
• Victor Ryan Ubiles, DPT
• Amanda Ann Ulsifer, PMHNP
• Jessica A Vaeth, MSPT
• Jenna Christine Van Dusen, DO
• Alicia Vanderwalker, FPA-C

• Family Nurse Practitioner in Lockport, NY
• Providers in Lockport, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.

Verify at the official NPI Registry.