Susan Elizabeth Demarco, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Buffalo, NY
NPI 1407215932 · NPPES record last updated Feb 11, 2016
Key facts
- NPI
- 1407215932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 307628 (NY)
- Practice address
- 875 Ellicott St
Buffalo, NY 14203-1070 - Phone
- (716) 748-2271
- NPI assigned
- Feb 11, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kaleida Health
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600
445 Tremont St
North Tonawanda, NY 14120-6150
Phone (716) 694-4500
900 Hertel Ave
Buffalo, NY 14216-2611
Phone (716) 871-1571
Hospital & facility affiliations
- Kaleida Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.06 of 100
- Quality
- 87.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180319002341 | NY | Practitioner - Nurse Practitioner | 6608148333 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307628 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| University at Buffalo Pathologists, Inc | Current | Accepting new patients | |
| Kaleida Health | Current |
Accepting new patients | |
| Kaleida Health | Current |
Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
100 High St
#13282
Buffalo, NY 14203
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
100 High St
#B8
Buffalo, NY 14203
Phone (716) 859-2271
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
875 Ellicott St
Buffalo, NY 14203
Phone (716) 748-2000
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307628 | NY | Yes |
Addresses
Primary practice location
875 Ellicott St
Buffalo, NY 14203-1070
Mailing address
5161 Berg Rd
Buffalo, NY 14218-3766
Phone (716) 465-2640
Other providers in Buffalo, NY
- Steven Justin Deluca
- Paula Delvalle
- Caitlin Demarco
- Joseph Demarco
- Samuel F Demarco
- Alyssa Dematteo
- Emily Elizabeth Demelo
- Peter J Demjanenko
- Tammie Lee M Demler
- Michael Turner Demmy
All providers in Buffalo, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.