NPIMap

Individual provider Active NPI

Audrey Glover, FNP-BC

  • Family Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1285979682
Registry record updated Jun 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337620 Issued in NY
Practice address
9 Limestone Dr
Williamsville, NY 14221
Phone
(716) 626-4200
Fax
(716) 626-4201
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2019

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 337620 NY Primary

Addresses

Primary practice location

9 Limestone Dr
Williamsville, NY 14221

Mailing address

9 Limestone Dr
Buffalo, NY 14221-7051
Phone (716) 626-4200

Other practice location 1

403 E 34th St
c/o NYU Transplant Clinic, 3rd Floor
New York, NY 10016-4972
Phone (212) 263-8134

Other practice location 2

403 E 34th St
c/o NYU Transplant Clinic, 3rd Floor
New York, NY 10016-4972
Phone (212) 263-8134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170113000301 NY Practitioner - Nurse Practitioner 6103043856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahmed and Ahmed Physicians PCGroup PAC ID 9032337829, 7 clinicians

Practice addresses (Care Compare)

9 Limestone Dr
Williamsville, NY 14221-7051
Phone (716) 626-4200

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed & Ahmed Physicians P C CurrentSince Oct 22, 2016 Accepting new patients
New York University Medical Center Past Accepting new patients

Locations

9 Limestone Dr
Williamsville, NY 14221
Phone (716) 626-4200

Interoperability endpoints

  • Direct secure messaging: audreyglover@suburbanrheumatology.medentdirect.com

Organizations & group practices 2

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 9

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1285979682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LIMESTONE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142217051",
            "telephone_number": "716-626-4200",
            "fax_number": "716-626-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIMESTONE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-626-4200",
            "fax_number": "716-626-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 E 34th St",
            "address_2": "c/o NYU Transplant Clinic, 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164972",
            "country_code": "US",
            "telephone_number": "212-263-8134",
            "fax_number": "212-263-8157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 E 34th St",
            "address_2": "c/o NYU Transplant Clinic, 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164972",
            "country_code": "US",
            "telephone_number": "212-263-8134",
            "fax_number": "212-263-8157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "AUDREY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.