Individual provider Active NPI

Douglas Allen Pearce, FNP

  • Family Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1144623778
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339168 Issued in NY
Practice address
3117 Military Rd
Niagara Falls, NY 14304-4813
Phone
(716) 257-1254
Fax
(716) 215-6170
NPI assigned
Sep 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 339168 NY Primary

Addresses

Primary practice location

3117 Military Rd
Niagara Falls, NY 14304-4813

Mailing address

3117 Military Rd
Niagara Falls, NY 14304-4813
Phone (716) 257-1254

Other practice location 1

901 Wayne St
Olean, NY 14760-2255
Phone (716) 257-1254

Other practice location 2

5893 Camp Rd Ste 3
Hamburg, NY 14075-4470
Phone (716) 257-1254

Other practice location 3

2733 Wehrle Dr Ste 400-500
Williamsville, NY 14221-7348
Phone (716) 257-1254

Other practice location 4

4721 Transit Rd Ste B
Depew, NY 14043-4898
Phone (716) 257-1254

Other practice location 5

325 Essjay Rd
Williamsville, NY 14221-8243
Phone (716) 630-2595

Other identifiers 1

IdentifierTypeStateIssuer
04562832MedicaidNY

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
I20150429000562 NY Practitioner - Nurse Practitioner 9234458035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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)

111 N Maplemere Rd
Suite 150
Williamsville, NY 14221-3181
Phone (716) 636-9004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339168NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jul 1, 2025 Accepting new patients
Paradigm Family Health NP PLLC Family CurrentSince Oct 1, 2018 Accepting new patients
Integrative Pain & Wellness Associates, LLC CurrentSince Feb 28, 2017 Accepting new patients
Creative Restorations, Inc PastSince Sep 17, 2023 Accepting new patients

Locations

245 Elmwood Ave
Buffalo, NY 14222

4721 Transit Rd
Ste B
Depew, NY 14043
Phone (716) 257-1254

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

2450 Elmwood Ave
Kenmore, NY 14217
Phone (716) 873-7335

888 Center Rd
West Seneca, NY 14224
Phone (716) 675-3530

40 Gardenville Pkwy W
Ste 101
West Seneca, NY 14224
Phone (716) 324-5255

111 N Maplemere Rd
Ste 150
Williamsville, NY 14221
Phone (716) 626-2644

100 College Pkwy
Ste 220
Williamsville, NY 14221
Phone (716) 626-9900

Interoperability endpoints

  • Direct secure messaging: dpearce@gppc.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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1144623778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Wayne St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147602255",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5893 Camp Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140754470",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2733 Wehrle Dr Ste 400-500",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142217348",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4721 Transit Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140434898",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "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": "716-630-2595",
            "fax_number": "716-817-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "DOUGLAS",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04562832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.