Individual provider Active NPI

Clifford Pyne, ACNP

  • Acute Care Nurse Practitioner
  • Olean, NY
National Provider Identifier
1245306729
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430215 Issued in NY
Practice address
401 N 8TH St
Olean, NY 14760-2237
Phone
(716) 373-3544
Fax
(716) 373-3546
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024167152 VA
Acute Care Nurse Practitioner 363LA2100X F430215 NY Primary

Addresses

Primary practice location

401 N 8TH St
Olean, NY 14760-2237

Mailing address

659 E Fillmore Ave
East Aurora, NY 14052-1805
Phone (716) 870-1936

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
I20100211000238 NY Practitioner - Nurse Practitioner 6901949031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

2223 W State St
Suite 120
Olean, NY 14760-1938
Phone (716) 373-3544

Hospital & facility affiliations

  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Upmc Cole Hospital, Coudersport, PA, CCN 391313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F430215NYMDAcute Care Nurse Practitioner
0024167152VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jun 1, 2017 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2017 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2017 Accepting new patients

Locations (25 of 26)

12845 Broadway St
Alden, NY 14004
Phone (716) 937-3255

1091 Main St
Ste 301GP
Buffalo, NY 14209

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

100 High St
#B2
Buffalo, NY 14203
Phone (716) 859-1256

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

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

100 High St
#B3
Buffalo, NY 14203

875 Ellicott St
Buffalo, NY 14203
Phone (716) 748-2000

3898 Vineyard Dr
Ste 1
Dunkirk, NY 14048
Phone (716) 363-6960

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

529 Central Ave
Fl 2
Dunkirk, NY 14048

5844 Southwestern Blvd
Ste 500
Hamburg, NY 14075
Phone (716) 626-4200

475 S Transit St
Ste 200
Lockport, NY 14094
Phone (716) 710-8826

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

621 10th St
Fl 2
Niagara Falls, NY 14301

571 10th St
Ste 264A
Niagara Falls, NY 14301
Phone (716) 299-0524

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

515 Main St
Olean, NY 14760
Phone (716) 373-2600

2223 W State St
Ste 120
Olean, NY 14760
Phone (716) 372-7337

535 Main St
Olean, NY 14760
Phone (716) 372-0141

401 N 8th St
Olean, NY 14760
Phone (716) 373-0040

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

705 Maple Rd
Williamsville, NY 14221
Phone (716) 580-7300

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

1000 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 932-7773

Interoperability endpoints

  • Direct secure messaging: cpyne@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.

Hospital & facility affiliations 11

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1245306729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 E FILLMORE AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521805",
            "telephone_number": "716-870-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N 8TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-373-3544",
            "fax_number": "716-373-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYNE",
        "first_name": "CLIFFORD",
        "name_prefix": "Mr.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024167152",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.