Individual provider Active NPI

Amanda M Ode, FNP-BC

  • Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1154820231
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F342477-1 Issued in NY
Practice address
100 College Pkwy Ste 260
Williamsville, NY 14221-6800
Phone
(716) 635-0688
Fax
(716) 204-9574
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F342477-1 NY Primary
Family Nurse Practitioner 363LF0000X F342477-1 NY

Addresses

Primary practice location

100 College Pkwy Ste 260
Williamsville, NY 14221-6800

Mailing address

100 College Pkwy Ste 260
Williamsville, NY 14221-6800

Other practice location 1

5820 Main St Ste 303
Williamsville, NY 14221-5734
Phone (716) 704-0684

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
I20180523003026 NY Practitioner - Nurse Practitioner 7012272909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
R and B Medical Group LLPGroup PAC ID 1153217062, 7 clinicians

Practice addresses (Care Compare)

100 College Pkwy
Suite 260
Williamsville, NY 14221-6800
Phone (716) 635-0668

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F342477-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R & B Medical Group, LLP CurrentSince Nov 13, 2023 Accepting new patients
Buffalo Nutrition & Dietetics, PLLC Family PastSince Nov 30, 2025 Accepting new patients

Locations

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

100 College Pkwy
Ste 260
Williamsville, NY 14221
Phone (716) 635-0668

Organizations & group practices 2

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 6

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1154820231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY STE 260",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY STE 260",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-635-0688",
            "fax_number": "716-204-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 Main St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215734",
            "country_code": "US",
            "telephone_number": "716-704-0684",
            "fax_number": "716-625-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODE",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F342477-1",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342477-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.