Kyle Andrew Wiktor, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401552 Issued in NY

Practice address

400 N Main St
Warsaw, NY 14569-1025

Phone

(585) 786-1555

NPI assigned

Aug 16, 2005

Last updated

Apr 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians

Erie County South East Corp VGroup PAC ID 9638079023, 22 clinicians

Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

East Point Medical PCGroup PAC ID 0749690741, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations (25 of 45)

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13610/brand/1/csg/1/fhir/r4
• Direct secure messaging: kwiktor@landmarkhealth-direct.org
• Direct secure messaging: kyle.wiktor@549960591081476.direct.elationemr.com

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.

• East Point Medical PC

  • Family Medicine Physician
  • Maspeth, NY
  • NPI 1518571751

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment Care Compare group NPD
• Shakespeare Operating LLC

  dba Bronx Treatment Center

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1720634538
  Medicare reassignment Care Compare group NPD
• Erie County South East Corp V

  dba Spectrum Health & Human Services

  • Community/Behavioral Health Agency
  • West Seneca, NY
  • NPI 1487601837
  Medicare reassignment Care Compare group
• Adult Medical Services, P.C.

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1346315074
  Medicare reassignment NPD
• Bronx Medical Practice P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356726087
  Medicare reassignment NPD
• Brooks-TLC Hospital System, Inc.

  • General Acute Care Hospital
  • Dunkirk, NY
  • NPI 1215917224
  Medicare reassignment NPD
• Chautauqua County Chapter of Nysarc Inc

  dba The Resource Center

  • Multi-Specialty Clinic/Center
  • Jamestown, NY
  • NPI 1770972036
  Medicare reassignment NPD
• Christopher E. Beney, MD, PC

  • Internal Medicine Physician
  • Lockport, NY
  • NPI 1053587519

  Family

  Medicare reassignment NPD
• County of Cattaraugus

  dba Dept of Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olean, NY
  • NPI 1659414696

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Essen Medical Urgicare, PLLC

  dba Metro Urgicare

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1841607298
  Medicare reassignment NPD
• Family Health Medical Services PLLC

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1619072204
  Medicare reassignment NPD

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1326030495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SENECA ST STE 646C",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101351",
            "telephone_number": "716-995-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691025",
            "telephone_number": "585-786-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Fairmount Ave Unit 7",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NY",
            "postal_code": "147502000",
            "country_code": "US",
            "telephone_number": "716-526-4041",
            "fax_number": "716-526-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 Seneca St",
            "address_2": "Kaprove and Krutchick MD's",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243444",
            "country_code": "US",
            "telephone_number": "716-657-7376",
            "fax_number": "716-675-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIKTOR",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333603-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03232620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western New York Medical Practice PC
• Western New York Performance Physical Therapy PLLC
• Western New York Physicians PLLC
• William N. White II
• Donna Whitton
• Sue Ann Williams, LMT/COTA
• Scott A Willis, AAS
• Dawn Marie Wilmot, C.O.T.A.
• Shannon Elizabeth Winter, RPT
• Chelsea Wolcott, RN

• Psychiatric/Mental Health Nurse Practitioner in Warsaw, NY
• Providers in Warsaw, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.