Individual provider Active NPI

Samantha Lynn Rola

  • Family Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1215694633
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348849 Issued in NY
Practice address
3980 Sheridan Dr
Amherst, NY 14226-1727
Phone
(716) 250-2000
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348849 NY Primary

Addresses

Primary practice location

3980 Sheridan Dr
Amherst, NY 14226-1727

Mailing address

473 Fisher Rd
Buffalo, NY 14224-3322
Phone (716) 379-7769

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
I20220114001586 NY Practitioner - Nurse Practitioner 8921490327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 828-2898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.01 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
80.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince Mar 22, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 4, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 22, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 4, 2024 Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

515 Abbott Rd
Ste 204
Buffalo, NY 14220
Phone (716) 828-3123

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
#2
Buffalo, NY 14220

Organizations & group practices 6

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 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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1215694633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 FISHER RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142243322",
            "telephone_number": "716-379-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLA",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.