Individual provider Active NPI

Brenda Ann Mrkall, ANP-BC

  • Adult Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1205067931
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304804-1 Issued in NY
Practice address
281 Ranch TRL
Williamsville, NY 14221-2339
Phone
(716) 632-0416
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 F304804-1 NY Primary

Addresses

Primary practice location

281 Ranch TRL
Williamsville, NY 14221-2339

Mailing address

281 Ranch TRL
Williamsville, NY 14221-2339
Phone (716) 632-0416

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
I20100415000930 NY Practitioner - Nurse Practitioner 8820125230 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F304804-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Infinity Medical Group P.C. CurrentSince Aug 1, 2016 Accepting new patients
Infinity Medical of Wny PC CurrentSince Apr 1, 2015 Accepting new patients
General Physician, PC CurrentSince May 1, 2018 Accepting new patients
Infinity Palliative Medicine P.C. CurrentSince Oct 18, 2017 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince May 7, 2018 Accepting new patients
Kaleida Health CurrentSince May 7, 2018 Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

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

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

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

1000 Youngs Rd
Williamsville, NY 14221
Phone (716) 689-4406

Organizations & group practices 8

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1205067931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 RANCH TRL",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212339",
            "telephone_number": "716-632-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 RANCH TRL",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212339",
            "telephone_number": "716-632-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRKALL",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304804-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.