Individual provider Active NPI

Kaeli Einink, PA

  • Physician Assistant
  • Sherman, NY
National Provider Identifier
1417436296
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022456 Issued in NY
Practice address
115 E Main St
Sherman, NY 14781-8002
Phone
(716) 761-6144
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022456 NY Primary

Addresses

Primary practice location

115 E Main St
Sherman, NY 14781-8002

Mailing address

PO Box 10
Westfield, NY 14787-0010
Phone (716) 326-4678

Other practice location 1

138 E Main St
Westfield, NY 14787-1121
Phone (716) 326-4678

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
I20181017001069 NY Practitioner - Physician Assistant 4688926884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westfield Family Physicians PC 14 clinicians

Practice addresses (Care Compare)

138 E Main St
Westfield, NY 14787-1121
Phone (716) 326-4678

Hospital & facility affiliations

  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022456NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Family Physicians Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: keinink@wfp.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1417436296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147870010",
            "telephone_number": "716-326-4678",
            "fax_number": "716-326-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "SHERMAN",
            "state": "NY",
            "postal_code": "147818002",
            "telephone_number": "716-761-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NY",
            "postal_code": "147871121",
            "country_code": "US",
            "telephone_number": "716-326-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EININK",
        "first_name": "KAELI",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, NY

Sources for this page

Verify at the official NPI Registry.