Individual provider Active NPI

Mary Patricia Whistler, NP

  • Family Nurse Practitioner
  • Cheektowaga, NY
National Provider Identifier
1265433759
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333678 Issued in NY
Practice address
539 Cleveland Dr
Cheektowaga, NY 14225-1080
Phone
(716) 834-9486
Fax
(716) 834-6466
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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 F333678 NY Primary

Addresses

Primary practice location

539 Cleveland Dr
Cheektowaga, NY 14225-1080

Mailing address

539 Cleveland Dr
Cheektowaga, NY 14225-1080
Phone (716) 834-9486

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
I20070209000530 NY Practitioner - Nurse Practitioner 3971505520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333678NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group CurrentSince Jul 18, 2006 Accepting new patients
General Physician, PC CurrentSince Jul 25, 2022 Accepting new patients
Highgate Medical Group CurrentSince Nov 13, 2022 Accepting new patients

Locations

1091 Main St
Ste 301
Buffalo, NY 14209
Phone (716) 248-1420

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

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1265433759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 CLEVELAND DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251080",
            "telephone_number": "716-834-9486",
            "fax_number": "716-834-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 CLEVELAND DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251080",
            "telephone_number": "716-834-9486",
            "fax_number": "716-834-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISTLER",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.