Individual provider Active NPI

Tara Gensler, FNP

  • Family Nurse Practitioner
  • Grand Island, NY
National Provider Identifier
1457014565
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347152 Issued in NY
Practice address
2230 Fix Rd
Grand Island, NY 14072-2546
Phone
(716) 863-4843
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347152 NY Primary
Registered Nurse 163W00000X 645455 NY

Addresses

Primary practice location

2230 Fix Rd
Grand Island, NY 14072-2546

Mailing address

2230 Fix Rd
Grand Island, NY 14072-2546
Phone (716) 863-4843

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
I20230510001531 NY Practitioner - Nurse Practitioner 7214270164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
645455NYMDRegistered Nurse
347152NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transtreme, LLC Family CurrentSince Apr 22, 2023 Accepting new patients
Rocky Mountain Kidney Care Professional Service Corp CurrentSince Oct 1, 2026 Accepting new patients

Locations

7112 Park Ave
Fresh Meadows, NY 11365
Phone (718) 409-1909

670 Davison Rd
Lockport, NY 14094
Phone (716) 433-5454

2585 South Rd
Ste 15
Poughkeepsie, NY 12601
Phone (845) 471-6300

1304 Buckley Rd
Syracuse, NY 13212
Phone (315) 478-3311

7501 Fannin St
Ste 705
Houston, TX 77054
Phone (713) 589-5283

Interoperability endpoints

  • Direct secure messaging: tara.gensler.1@26729.direct.athenahealth.com
  • Direct secure messaging: tgensler@nephrologypractice.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, 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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1457014565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 FIX RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722546",
            "telephone_number": "716-863-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 FIX RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722546",
            "telephone_number": "716-863-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSLER",
        "first_name": "TARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347152",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "645455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

Verify at the official NPI Registry.