Individual provider Active NPI

Erika Marie Kinzly, NP

  • Adult Health Nurse Practitioner
  • Lockport, NY
National Provider Identifier
1285175364
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308099 Issued in NY
Practice address
5949 Campbell Blvd
Lockport, NY 14094-9204
Phone
(716) 778-8627
Fax
(716) 778-8059
NPI assigned
Mar 9, 2017
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 308099 NY Primary

Addresses

Primary practice location

5949 Campbell Blvd
Lockport, NY 14094-9204

Mailing address

5949 Campbell Blvd
Lockport, NY 14094-9204
Phone (716) 778-8627

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
I20170420000657 NY Practitioner - Nurse Practitioner 7113203522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patricia J Danaher MD PCGroup PAC ID 0547305088, 2 clinicians

Practice addresses (Care Compare)

5949 Campbell Blvd
Lockport, NY 14094-9204
Phone (716) 778-8627

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308099NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Family Medicine, Inc CurrentSince Mar 1, 2026 Accepting new patients
Patricia J. Danaher-Haag Past Accepting new patients

Locations

5949 Campbell Blvd
Lockport, NY 14094
Phone (716) 778-8627

Interoperability endpoints

  • Direct secure messaging: egrose@drdanahermdpc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1285175364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 CAMPBELL BLVD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949204",
            "telephone_number": "716-778-8627",
            "fax_number": "716-778-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 CAMPBELL BLVD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949204",
            "telephone_number": "716-778-8627",
            "fax_number": "716-778-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZLY",
        "first_name": "ERIKA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.