Individual provider Active NPI

Katherine Ann Fenster, NP

  • Family Nurse Practitioner
  • Cheektowaga, NY
National Provider Identifier
1265017164
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346185 Issued in NY
Practice address
3450 Union Rd
Cheektowaga, NY 14225-5120
Phone
(716) 395-2043
Fax
(716) 395-2044
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 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 346185 NY Primary

Addresses

Primary practice location

3450 Union Rd
Cheektowaga, NY 14225-5120

Mailing address

5460 Broadway St
Lancaster, NY 14086-2126
Phone (716) 866-3291

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
I20211216000764 NY Practitioner - Nurse Practitioner 7719378397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

4827 Transit Rd
Depew, NY 14043-4788
Phone (716) 771-3394

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346185NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statline Medical PC CurrentSince Jun 1, 2021 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Apr 1, 2022 Accepting new patients
Statline Access LLC PastSince Mar 1, 2021 Accepting new patients
Wellnow Urgent Care, PC PastSince May 7, 2024 Accepting new patients

Locations

3450 Union Rd
Cheektowaga, NY 14225
Phone (716) 395-2043

4827 Transit Rd
Depew, NY 14043
Phone (716) 608-2236

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

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

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

Organizations & group practices 4

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1265017164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862126",
            "telephone_number": "716-866-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255120",
            "telephone_number": "716-395-2043",
            "fax_number": "716-395-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSTER",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.