Active NPI
Mitchell Kerner, ANP
- Adult Health Nurse Practitioner
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F309551-01
- Practice address
- 100 College Pkwy Ste 110
Williamsville, NY 14221-6885 - Phone
- (716) 631-8863
- NPI assigned
- Feb 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F309551-01 | NY | Primary |
Addresses
Primary practice location
100 College Pkwy Ste 110
Williamsville, NY 14221-6885
Mailing address
10 Carriage Dr Apt 6
Orchard Park, NY 14127-1834
Phone (716) 860-0086
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
199 Park Club LN
Williamsville, NY 14221-5269
Hospital & facility affiliations
- Sisters of Charity Hospital
- Kaleida Health
- Mount St. Mary'S Hospital & Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F309551-01 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Group of Western New York, LLP | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Rpci Oncology PC | Current | Accepting new patients | |
| Saif Soniwala,M.D.,PC | Current | Accepting new patients |
Locations
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340
100 College Pkwy
Ste 110
Williamsville, NY 14221
Phone (716) 631-8863
2699 Wehrle Dr
Williamsville, NY 14221
Phone (716) 631-8863
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- mkerner@breastcarewny.medentdirect.com
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Williamsville, NY
- NPI 1952703985
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Pulmonary Disease Physician
- Williamsville, NY
- NPI 1629131180
-
- Hematology & Oncology Physician
- Williamsville, NY
- NPI 1114061942
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1356975940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CARRIAGE DR APT 6",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271834",
"telephone_number": "716-860-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COLLEGE PKWY STE 110",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216885",
"telephone_number": "716-631-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNER",
"first_name": "MITCHELL",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F309551-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.