Individual provider Active NPI

Anne Elizabeth Hewitt, FMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1205303344
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402490 Issued in NY
Practice address
768 Delaware Ave
Buffalo, NY 14209-2006
Phone
(716) 882-3151
Fax
(716) 886-4002
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402490 NY Primary

Addresses

Primary practice location

768 Delaware Ave
Buffalo, NY 14209-2006

Mailing address

701 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281

Other practice location 1

165 Main St
Oneida, NY 13421-1648
Phone (315) 363-9281

Other practice location 2

254 Franklin St
Buffalo, NY 14202-1932
Phone (716) 551-7894

Other practice location 3

16 Crawford St
Cortland, NY 13045-3200
Phone (315) 363-9281

Other names 1

  • Anne Elizabeth Pesaresi Former name

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
I20190528001426 NY Practitioner - Nurse Practitioner 8628311065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc Inc.Group PAC ID 6608869193, 15 clinicians

Practice addresses (Care Compare)

165 Main St
Oneida, NY 13421-1648
Phone (315) 363-9281

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Mar 24, 2019 Accepting new patients
Tanvir Shagar NP in Family Health PLLC Psychiatric/Mental Health CurrentSince Apr 5, 2024 Accepting new patients
Upstate Community Medical, PC CurrentSince May 1, 2019 Accepting new patients
Jotno Family Health Nurse Practitioner PLLC CurrentSince Apr 5, 2024 Accepting new patients

Locations

16 Crawford St
Cortland, NY 13045
Phone (315) 363-9286

350 S Washington St
Herkimer, NY 13350
Phone (315) 866-2920

165 Main St
Oneida, NY 13421
Phone (315) 363-1059

701 Lenox Ave
Oneida, NY 13421
Phone (315) 363-3389

588 Broad St
Oneida, NY 13421
Phone 31536392814300

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

14 Arnold Ave
#411
Utica, NY 13502

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.

Hospital & facility affiliations 2

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1205303344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LENOX AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211500",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092006",
            "telephone_number": "716-882-3151",
            "fax_number": "716-886-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Main St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134211648",
            "country_code": "US",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142021932",
            "country_code": "US",
            "telephone_number": "716-551-7894",
            "fax_number": "716-840-9593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Crawford St",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130453200",
            "country_code": "US",
            "telephone_number": "315-363-9281",
            "fax_number": "315-363-9286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "FMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "PESARESI",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.