Individual provider Active NPI

Maureen Lynn Westgarth, FNP-BC

  • Family Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1366609976
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337347 Issued in NY
Practice address
4515 Military Rd
Niagara Falls, NY 14305-1335
Phone
(716) 236-7880
Fax
(716) 236-7884
NPI assigned
May 21, 2008
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337347 NY Primary
Registered Nurse 163W00000X 579137-1 NY

Addresses

Primary practice location

4515 Military Rd
Niagara Falls, NY 14305-1335

Mailing address

4515 Military Rd
Niagara Falls, NY 14305-1335
Phone (716) 236-7880

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
I20121214000039 NY Practitioner - Nurse Practitioner 7810149044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tmo Medical, PCGroup PAC ID 9436209533, 2 clinicians

Practice addresses (Care Compare)

4515 Military Rd
Niagara Falls, NY 14305-1335
Phone (716) 236-7880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
579137-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tmo Medical, PC CurrentSince Nov 10, 2012 Accepting new patients
Niagara University Health Services Past Accepting new patients

Locations

4515 Military Rd
Niagara Falls, NY 14305
Phone (716) 236-7880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1366609976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051335",
            "telephone_number": "716-236-7880",
            "fax_number": "716-236-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051335",
            "telephone_number": "716-236-7880",
            "fax_number": "716-236-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTGARTH",
        "first_name": "MAUREEN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337347",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "579137-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.