Active NPI
Rachel M Zickl, FNP
- Family Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1356376693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F338321
- Practice address
- 701 Seneca St Ste 646C
Buffalo, NY 14210-1351 - Phone
- (716) 995-4450
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F338321 | NY | Primary |
Addresses
Primary practice location
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Mailing address
3 Tountas Ave
Suite 1
Le Roy, NY 14482
Phone (585) 768-4400
Other practice location 1
3 Tountas Ave
Suite 1
Le Roy, NY 14482
Phone (585) 768-4400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0406844 | Other | INDEPENDENT HEALTH | |
| 102906BJ | Other | PREFERRED CARE | |
| 00010009201 | Other | UNIVERA | |
| 005605341 | Other | NY | BCBS WNY |
| P010000065 | Other | NY | BCBS ROCHESTER |
| 000560534001 | Other | NY | COMMUNITY BLUE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oak Orchard Community Health Center, Inc.
Practice addresses (Care Compare)
3384 Church St
Alexander, NY 14005-9629
Phone (585) 637-3905
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F338321 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concerto Care Medical Group of New York, PC | Current | Accepting new patients |
Locations
50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256
Interoperability endpoints
- rzickl@landmarkhealth-direct.org
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Buffalo, NY
- NPI 1720805963
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- Rural Acute Care Hospital
- Warsaw, NY
- NPI 1316924913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1356376693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 TOUNTAS AVE",
"address_2": "SUITE 1",
"city": "LE ROY",
"state": "NY",
"postal_code": "14482",
"telephone_number": "585-768-4400",
"fax_number": "585-768-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SENECA ST STE 646C",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142101351",
"telephone_number": "716-995-4450"
}
],
"practiceLocations": [
{
"address_1": "3 Tountas Ave",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Le Roy",
"state": "NY",
"postal_code": "14482",
"country_code": "US",
"telephone_number": "585-768-4400",
"fax_number": "585-768-7792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZICKL",
"first_name": "RACHEL",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F338321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0406844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102906BJ",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010009201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WNY",
"identifier": "005605341",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ROCHESTER",
"identifier": "P010000065",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000560534001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.