Individual provider Active NPI

Mary Colleen Bracken, A.N.P.

  • Adult Health Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1376505099
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303660 Issued in NY
Practice address
82 Bernice Dr
West Seneca, NY 14224-4113
Phone
(716) 255-2868
Fax
(716) 209-3187
NPI assigned
Apr 6, 2006
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303660 NY Primary

Addresses

Primary practice location

82 Bernice Dr
West Seneca, NY 14224-4113

Mailing address

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

Other practice location 1

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

Other identifiers 7

IdentifierTypeStateIssuer
166192295OtherNMEMPIRE
166192295OtherNYGHI
9512547OtherNMINDEPENDENT HEALTH
000560845003OtherNYBLUE CROSS
060065956OtherNYRAILROAD MEDICARE
00026705402OtherNYUNIVERA
000560845003OtherNYCOMMUNITY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730001125 NY Practitioner - Nurse Practitioner 8820068265 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
The Dale Association, Inc.Group PAC ID 3971538232, 4 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

33 Ontario St
Lockport, NY 14094-2815
Phone (716) 433-1937

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

64 Hager St
Buffalo, NY 14208-1327
Phone (716) 886-4377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303660NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Adult Health CurrentSince Sep 1, 2012 Accepting new patients
Lakeshore Primary Care Associates LLP CurrentSince Dec 22, 2019 Accepting new patients
Physician Mobile Medical Care PC CurrentSince Apr 14, 2026 Accepting new patients
Maria Rita Andaya MD PLLC CurrentSince Jan 27, 2023 Accepting new patients
The Dale Association, Inc. CurrentSince Jan 20, 2025 Accepting new patients
Maria Rita Andaya M.D.,PLLC PastSince Jan 27, 2023 Accepting new patients
Mobile Physician Services PLLC PastSince Jan 1, 2015 Accepting new patients
Mobile Primary Care Family Nurse Practitioners, PLLC PastSince Jun 1, 2007 Accepting new patients
Mobile Nurse Practitioners Past Accepting new patients
Mobile Nurse Practitioners Past Accepting new patients

Locations

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

571 Terrace Blvd
Depew, NY 14043
Phone (716) 683-4196

4855 Camp Rd
Ste 100
Hamburg, NY 14075
Phone (716) 646-1084

15 Melroy Ave
Lackawanna, NY 14218
Phone (716) 549-4724

33 Ontario St
Lockport, NY 14094
Phone (716) 433-1937

2987 Seneca St
West Seneca, NY 14224
Phone (716) 652-1560

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1376505099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262547",
            "telephone_number": "716-923-4380",
            "fax_number": "716-209-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BERNICE DR",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244113",
            "telephone_number": "716-255-2868",
            "fax_number": "716-209-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4979 Harlem Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142262547",
            "country_code": "US",
            "telephone_number": "716-923-4380",
            "fax_number": "716-923-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "MARY",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "166192295",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "166192295",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512547",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000560845003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060065956",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026705402",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000560845003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.