Individual provider Active NPI

Nicole Boyd, ANP

  • Adult Health Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1225713993
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311330 Issued in NY
Practice address
3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741
Phone
(716) 852-4772
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 311330 NY Primary

Addresses

Primary practice location

3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741

Mailing address

726 Exchange St Ste 710
Buffalo, NY 14210-1464

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
I20230809003344 NY Practitioner - Nurse Practitioner 5294197133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Medical Consultants PCGroup PAC ID 7810229259, 46 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14209
Phone (207) 518-8869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311330NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Nov 17, 2024 Accepting new patients
General Physician, PC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1014 Delaware Ave
Buffalo, NY 14209
Phone (716) 361-8616

3980A Sheridan Dr
Ste 200
Buffalo, NY 14226
Phone (716) 309-4772

726 Exchange St
Ste 710
Buffalo, NY 14210
Phone (716) 343-3016

1031 Michigan Ave
Buffalo, NY 14203
Phone (716) 686-8460

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

5775 Maelou Dr
Hamburg, NY 14075
Phone (716) 648-2820

104 Old Niagara Rd
Lockport, NY 14094
Phone (716) 434-6093

5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677

Interoperability endpoints

  • Direct secure messaging: nboyd@gppc.medentdirect.com

Organizations & group practices 3

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1225713993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST STE 710",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR STE 200",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741",
            "telephone_number": "716-852-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "NICOLE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.