Individual provider Active NPI

Annielaurie Goetz, AGNP

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1235835158
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311162 Issued in NY
Practice address
1616 Kensington Ave
Buffalo, NY 14215-1433
Phone
(716) 834-3278
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 311162 NY Primary

Addresses

Primary practice location

1616 Kensington Ave
Buffalo, NY 14215-1433

Mailing address

749 E River Rd
Grand Island, NY 14072-2940
Phone (716) 361-7473

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
I20230328000133 NY Practitioner - Nurse Practitioner 1355715673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northtowns Cardiology, PLLCGroup PAC ID 4789860438, 10 clinicians

Practice addresses (Care Compare)

190 Maple Rd
Amherst, NY 14221-3129
Phone (716) 580-3810

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311162NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northtowns Cardiology, PLLC CurrentSince May 20, 2024 Accepting new patients
Trinity Medical Wny PC Adult Health CurrentSince Mar 13, 2023 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 27, 2024 Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 13, 2023 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Mar 27, 2024 Accepting new patients

Locations

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

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

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

1616 Kensington Ave
Buffalo, NY 14215
Phone (716) 834-3278

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

3091 William St
Cheektowaga, NY 14227
Phone (716) 822-3098

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

190 Maple Rd
Williamsville, NY 14221
Phone (716) 580-3810

Interoperability endpoints

  • Direct secure messaging: agoetz@northtownscardiology.medentdirect.com

Organizations & group practices 5

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 9

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1235835158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 E RIVER RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722940",
            "telephone_number": "716-361-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 KENSINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151433",
            "telephone_number": "716-834-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "ANNIELAURIE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.