Individual provider Active NPI

Brooke Menza, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1316729353
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F406287-01 Issued in NY
Practice address
9 Limestone Dr
Williamsville, NY 14221-7051
Phone
(716) 626-4200
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F406287-01 NY Primary

Addresses

Primary practice location

9 Limestone Dr
Williamsville, NY 14221-7051

Mailing address

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

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
I20241210003902 NY Practitioner - Nurse Practitioner 8820524135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F406287-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed & Ahmed Physicians P C CurrentSince Jan 1, 2025 Accepting new patients
Mental Health Services-Erie County Northwest Corporation I PastSince Oct 1, 2023 Accepting new patients

Locations

5844 Southwestern Blvd
Ste 500
Hamburg, NY 14075
Phone (716) 626-4200

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

Interoperability endpoints

  • Direct secure messaging: brookejalowiec@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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1316729353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LIMESTONE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217051",
            "telephone_number": "716-626-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIMESTONE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217051",
            "telephone_number": "716-626-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZA",
        "first_name": "BROOKE",
        "credential": "PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406287-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.