Individual provider Active NPI

Elizabeth Anne Leiser, NP

  • Adult Health Nurse Practitioner
  • Kenmore, NY
National Provider Identifier
1144576265
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306078-1 Issued in NY
Practice address
274 W Girard Blvd
Kenmore, NY 14217
Phone
(716) 876-0790
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 F306078-1 NY Primary

Addresses

Primary practice location

274 W Girard Blvd
Kenmore, NY 14217

Mailing address

1150 Youngs Rd
Ste 104
Williamsville, NY 14221-8024
Phone (716) 636-7990

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
I20130403000223 NY Practitioner - Nurse Practitioner 1355586967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

3950 E Robinson Rd
Suite 207
Buffalo, NY 14228-2044
Phone (716) 564-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306078-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JD Services Nurse Practitioner in Adult Health PLLC Adult Health CurrentSince Jan 1, 2026 Accepting new patients
Highgate Medical Group CurrentSince Nov 13, 2022 Accepting new patients
Highgate Medical Group CurrentSince Nov 23, 2020 Accepting new patients
Niagara Hospitalist, PC Past Accepting new patients

Locations

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

6255 Sheridan Dr
Ste 200
Williamsville, NY 14221
Phone (716) 636-7979

6255 Sheridan Dr
Williamsville, NY 14221
Phone (716) 857-8666

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

Interoperability endpoints

  • Direct secure messaging: eleiser@highgatemedical.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1144576265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "STE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218024",
            "telephone_number": "716-636-7990",
            "fax_number": "716-929-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W GIRARD BLVD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-876-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306078-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.