Individual provider Active NPI

Mark J Vanviegen, ENP/FNP-BC

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1477541779
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F350568-01 Issued in NY
Practice address
266 Elmwood Ave Ste 428
Buffalo, NY 14222-2202
Phone
(919) 426-1756
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 149084 NC
Family Nurse Practitioner 363LF0000X 4053567 KY
Nurse Practitioner 363L00000X F350568-01 NY Primary
Family Nurse Practitioner 363LF0000X RN10029872 MA
Nurse Practitioner 363L00000X F350568 NY
Nurse Practitioner 363L00000X 4053567 KY
Nurse Practitioner 363L00000X 005002286 NC
Family Nurse Practitioner 363LF0000X 11846 WI
Nurse Practitioner 363L00000X 14586 CT
Acute Care Nurse Practitioner 363LA2100X NP3029682 FL

Addresses

Primary practice location

266 Elmwood Ave Ste 428
Buffalo, NY 14222-2202

Mailing address

266 Elmwood Ave
PMG 428
Buffalo, NY 14222
Phone (919) 426-1756

Other identifiers 2

IdentifierTypeStateIssuer
NP0297MedicaidSC
P00398888OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL, WI, NY, CT, MA, KY7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20220118000882 LA Practitioner - Nurse Practitioner 6406857465 Reassigns benefits to 1 organization
I20220222000054 FL Practitioner - Nurse Practitioner 6406857465 Reassigns benefits to 2 organizations
I20220405001000 WI Practitioner - Nurse Practitioner 6406857465
I20230111002406 NY Practitioner - Nurse Practitioner 6406857465 Reassigns benefits to 5 organizations
I20250407001815 CT Practitioner - Nurse Practitioner 6406857465 Reassigns benefits to 1 organization
I20250904002703 MA Practitioner - Nurse Practitioner 6406857465 Reassigns benefits to 1 organization
I20260408001893 KY Practitioner - Nurse Practitioner 6406857465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Em-I Medical Services PSCGroup PAC ID 8325001175, 42 clinicians
Physicians Medical Associates New York PCGroup PAC ID 7618310368, 100 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Buffalo Emergency Associates LLPGroup PAC ID 4981502515, 54 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8426
Phone (954) 939-5000

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

Hospital & facility affiliations

  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005002286NCMDNurse Practitioner
F350568NYMDNurse Practitioner
F350568-01NYMDNurse Practitioner
NP3029682FLMDAcute Care Nurse Practitioner
4053567KYMDFamily Nurse Practitioner
11846WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Aug 1, 2024 Accepting new patients
Nyack Emergency Medical Association PLLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Ellenville Emergency Medical Associates PLLC CurrentSince Oct 13, 2022 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2024 Accepting new patients
Vituity-Massachusetts PLLC CurrentSince Sep 1, 2025 Accepting new patients
Physicians Medical Associates New York PC Current Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medical Association of New York PC Nurse Practitioner CurrentSince Mar 17, 2024 Accepting new patients
Cep America LLC CurrentSince Apr 7, 2025 Accepting new patients
Cep America LLC Current Accepting new patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Cep America, LLC Current Accepting new patients
Physicians Medical Associates New York PC CurrentSince Mar 15, 2025 Accepting new patients
Hudson Vista Physician Services PC CurrentSince Sep 1, 2024 Accepting new patients
Rainier Emergency Physicians LLC Nurse Practitioner Past Accepting new patients
North Carolina Em-I Medical Services PC Past Accepting new patients
Laurel Mill Emergency Physicians Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

10 Healthy Way
Ellenville, NY 12428
Phone 8456476400294

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Interoperability endpoints

  • Direct secure messaging: mvanviegen4079605@direct.trinity-health.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1477541779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 ELMWOOD AVE",
            "address_2": "PMG 428",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14222",
            "telephone_number": "919-426-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 ELMWOOD AVE STE 428",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222202",
            "telephone_number": "919-426-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVIEGEN",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "ENP/FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "149084",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4053567",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F350568-01",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10029872",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F350568",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4053567",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "005002286",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11846",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "14586",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "NP3029682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0297",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00398888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.