Melissa M Wisniewski, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F351176-01 Issued in NY

Practice address

3075 Southwestern Blvd Ste 102
Orchard Park, NY 14127-1236

Phone

(716) 675-0616

Fax

(716) 675-7101

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwisniewski@breastcarewny.medentdirect.com

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.

• Rpci Oncology PC

  • Hematology & Oncology Physician
  • Williamsville, NY
  • NPI 1952703985
  Medicare reassignment Care Compare group NPD
• Saif Soniwala,M.D.,PC

  • Hematology & Oncology Physician
  • Williamsville, NY
  • NPI 1114061942
  NPD
• Southtowns Ear, Nose & Throat, LLP

  • Otolaryngology Physician
  • Orchard Park, NY
  • NPI 1457458671
  NPD
• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Care Compare affiliation

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1235836115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD",
            "address_2": "STE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271238",
            "telephone_number": "716-674-3104",
            "fax_number": "716-674-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 SOUTHWESTERN BLVD STE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271236",
            "telephone_number": "716-675-0616",
            "fax_number": "716-675-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10988 Bennett-State Road",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "NY",
            "postal_code": "14062",
            "country_code": "US",
            "telephone_number": "716-363-6050",
            "fax_number": "833-471-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351176-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07617256",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Tederous Williams, PH.D
• Brummitte Dale Wilson, M.D.
• Laura Elaine Winkelman, CPHT
• Madison Winkler, LPN
• Paul Joseph Wirth
• Amy Lynn Wnek, M.D.
• Michelle Marie Wnek, MS, CASAC, NYCPS
• Wny Breast Med and Surg Care,PC
• Wny Catholic Long Term Care, Inc.
• Wny Optical Shop Inc.

• Family Nurse Practitioner in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.