Active NPI
Mary Colleen Bracken, A.N.P.
- Adult Health Nurse Practitioner
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F303660
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166192295 | Other | NM | EMPIRE |
| 166192295 | Other | NY | GHI |
| 9512547 | Other | NM | INDEPENDENT HEALTH |
| 000560845003 | Other | NY | BLUE CROSS |
| 060065956 | Other | NY | RAILROAD MEDICARE |
| 00026705402 | Other | NY | UNIVERA |
| 000560845003 | 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| F303660 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wny Medical PC | Adult Health | Current | Accepting new patients |
| Lakeshore Primary Care Associates LLP | Current | Accepting new patients | |
| Physician Mobile Medical Care PC | Current | Accepting new patients | |
| Maria Rita Andaya MD PLLC | Current | Accepting new patients | |
| The Dale Association, Inc. | Current | Accepting new patients | |
| Maria Rita Andaya M.D.,PLLC | Past | Accepting new patients | |
| Mobile Physician Services PLLC | Past | Accepting new patients | |
| Mobile Primary Care Family Nurse Practitioners, PLLC | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.