Individual provider Active NPI

Michelle Marie Maniace, FNP

  • Family Nurse Practitioner
  • Batavia, NY
National Provider Identifier
1437493186
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33337594 Issued in NY
Practice address
16 Bank St
Batavia, NY 14020-2250
Phone
(585) 344-4800
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33337594 NY Primary

Addresses

Primary practice location

16 Bank St
Batavia, NY 14020-2250

Mailing address

16 Bank St
Batavia, NY 14020-2250
Phone (585) 344-4800

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
I20130812000176 NY Practitioner - Nurse Practitioner 2163664764 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33337594NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center CurrentSince Mar 1, 2014 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2018 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

4189 Veterans Memorial Dr
Batavia, NY 14020
Phone (585) 201-5598

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

233 Saratoga Rd
Glenville, NY 12302
Phone (518) 930-7497

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1437493186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BANK ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202250",
            "telephone_number": "585-344-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BANK ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202250",
            "telephone_number": "585-344-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIACE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33337594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.