Individual provider Active NPI

Karmell J Macoretta, NP

  • Adult Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1154324028
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303928 Issued in NY
Practice address
342 Harris Hill Rd
Ste 5
Williamsville, NY 14221-7472
Phone
(716) 204-0777
Fax
(716) 204-0774
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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 F303928 NY Primary

Addresses

Primary practice location

342 Harris Hill Rd
Ste 5
Williamsville, NY 14221-7472

Mailing address

342 Harris Hill Rd
Ste 5
Williamsville, NY 14221-7472
Phone (716) 204-0777

Other identifiers 4

IdentifierTypeStateIssuer
00026585601OtherNYUNIVERA
02499521MedicaidNY
9512183OtherNYINDEPENDENT HEALTH
000560843001OtherNYBLUE CROSS BLUE SHIELD

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
I20040513001261 NY Practitioner - Nurse Practitioner 0446240212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank R Laurri MD and Associates PCGroup PAC ID 9335114800, 11 clinicians
University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

10175 Niagara Falls Blvd
Suite 1
Niagara, NY 14304-2941
Phone (716) 205-0170

6930 Williams Rd
Suite 3800
Niagara Falls, NY 14304-3113
Phone (716) 218-1000

Hospital & facility affiliations

  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303928NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Sep 16, 2019 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Jan 24, 2024 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Jan 24, 2024 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Apr 28, 2014 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Sep 16, 2019 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Apr 28, 2014 Accepting new patients
Niagara Falls Memorial Medical Center Past Accepting new patients

Locations

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

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

6930 Williams Rd
Ste 3800
Niagara Falls, NY 14304
Phone 71621810007166

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • Direct secure messaging: kmacoretta@laurrimdassoc.medentdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1154324028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HARRIS HILL RD",
            "address_2": "STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217472",
            "telephone_number": "716-204-0777",
            "fax_number": "716-204-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HARRIS HILL RD",
            "address_2": "STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217472",
            "telephone_number": "716-204-0777",
            "fax_number": "716-204-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACORETTA",
        "first_name": "KARMELL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026585601",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02499521",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512183",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000560843001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.