Individual provider Active NPI

Michele Winsor, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Cattaraugus, NY
National Provider Identifier
1316364003
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
311896 Issued in NY
Practice address
9200 Ball Rd
Cattaraugus, NY 14719-9630
Phone
(716) 913-2872
NPI assigned
Mar 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 700255 NY
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 311896 NY Primary

Addresses

Primary practice location

9200 Ball Rd
Cattaraugus, NY 14719-9630

Mailing address

9200 Ball Rd
Cattaraugus, NY 14719-9630
Phone (716) 913-2872

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
I20241030004033 NY Practitioner - Nurse Practitioner 2466985353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
700255NYMDRegistered Nurse
311896NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice of New York Medical PC Single Specialty CurrentSince Aug 3, 2024 Accepting new patients

Locations

3332 Walden Ave
Ste 110
Depew, NY 14043
Phone (716) 668-7051

Organizations & group practices 1

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": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1316364003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 BALL RD",
            "city": "CATTARAUGUS",
            "state": "NY",
            "postal_code": "147199630",
            "telephone_number": "716-913-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BALL RD",
            "city": "CATTARAUGUS",
            "state": "NY",
            "postal_code": "147199630",
            "telephone_number": "716-913-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSOR",
        "first_name": "MICHELE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "700255",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "311896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cattaraugus, NY

Sources for this page

Verify at the official NPI Registry.