Individual provider Active NPI

Paula Zagrobelny, NP

  • Nurse Practitioner
  • East Aurora, NY
National Provider Identifier
1164496717
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F332454 Issued in NY
Practice address
112 Olean St
Suite 220
East Aurora, NY 14052-2540
Phone
(716) 805-1072
Fax
(716) 805-1073
NPI assigned
Feb 13, 2006
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F332454 NY Primary

Addresses

Primary practice location

112 Olean St
Suite 220
East Aurora, NY 14052-2540

Mailing address

112 Olean St
Suite 220
East Aurora, NY 14052-2540
Phone (716) 805-1072

Other identifiers 4

IdentifierTypeStateIssuer
000560635002OtherNYBC/BS
00026703801OtherNYUNIVERA
9512178OtherNYIHA
02345733MedicaidNY

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
I20040814000005 NY Practitioner - Nurse Practitioner 2961475363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Aurora Family Practice,LLPGroup PAC ID 5496733404, 9 clinicians
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

112 Olean St
East Aurora, NY 14052-2540
Phone (716) 805-1072

3245 Southwestern Blvd
Orchard Park, NY 14127-1258
Phone (716) 362-8777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F332454NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Feb 5, 2021 Accepting new patients
East Aurora Family Practice,LLP CurrentSince Jan 30, 2011 Accepting new patients

Locations

112 Olean St
Ste 220
East Aurora, NY 14052
Phone (716) 805-1072

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

3245 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 362-8777

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1164496717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 OLEAN ST",
            "address_2": "SUITE 220",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522540",
            "telephone_number": "716-805-1072",
            "fax_number": "716-805-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OLEAN ST",
            "address_2": "SUITE 220",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522540",
            "telephone_number": "716-805-1072",
            "fax_number": "716-805-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGROBELNY",
        "first_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F332454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000560635002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026703801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512178",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02345733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

Verify at the official NPI Registry.