Individual provider Active NPI

Kelly Ann Schultz, NP

  • Family Nurse Practitioner
  • West Amherst, NY
National Provider Identifier
1225677388
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344986 Issued in NY
Practice address
3950 E Robinson Rd Ste 207
West Amherst, NY 14228-2044
Phone
(716) 564-1111
Fax
(716) 929-0194
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 F344986 NY Primary

Addresses

Primary practice location

3950 E Robinson Rd Ste 207
West Amherst, NY 14228-2044

Mailing address

6255 Sheridan Dr Ste 304
Williamsville, NY 14221-4825
Phone (716) 636-7990

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
I20200508000604 NY Practitioner - Nurse Practitioner 7416388384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

3950 E Robinson Rd
Suite 207
Buffalo, NY 14228-2044
Phone (716) 564-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344986NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group CurrentSince Mar 18, 2024 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Oct 9, 2023 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Feb 1, 2020 Accepting new patients
Highgate Medical Group CurrentSince Mar 18, 2024 Accepting new patients
Kaleida Health CurrentSince Oct 9, 2023 Accepting new patients

Locations

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

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

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

1751 Sheridan Dr
Tonawanda, NY 14223
Phone (716) 249-3765

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

6255 Sheridan Dr
Ste 200
Williamsville, NY 14221
Phone (716) 636-7979

6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666

Interoperability endpoints

  • Direct secure messaging: kschultz@highgatemedical.medentdirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1225677388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR STE 304",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214825",
            "telephone_number": "716-636-7990",
            "fax_number": "716-636-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E ROBINSON RD STE 207",
            "city": "WEST AMHERST",
            "state": "NY",
            "postal_code": "142282044",
            "telephone_number": "716-564-1111",
            "fax_number": "716-929-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Amherst, NY

Sources for this page

Verify at the official NPI Registry.