Individual provider Active NPI

Brianna Wasik, PA

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1487413522
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
034732 Issued in NY
Practice address
300 Niagara St
Buffalo, NY 14201-2135
Phone
(716) 242-8600
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 034732 NY Primary

Addresses

Primary practice location

300 Niagara St
Buffalo, NY 14201-2135

Mailing address

3 Walnut Creek TRL
Lancaster, NY 14086-3342

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
I20251208000035 NY Practitioner - Physician Assistant 4183117195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Lawn Ave
Buffalo, NY 14207-1816
Phone (716) 875-2904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034732NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center of Wny, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Neighborhood Health Center of Wny, Inc. CurrentSince Nov 17, 2025 Accepting new patients

Locations

1569 Niagara St
Buffalo, NY 14213
Phone (716) 427-7000

155 Lawn Ave
Buffalo, NY 14207
Phone (716) 875-2904

4233 Lake Ave
Buffalo, NY 14219
Phone (716) 332-3070

300 Niagara St
Buffalo, NY 14201
Phone (716) 242-8600

151 Elmview Ave
Hamburg, NY 14075
Phone (716) 648-3040

Interoperability endpoints

  • Direct secure messaging: brianna.wasik.1@26491.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1487413522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALNUT CREEK TRL",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012135",
            "telephone_number": "716-242-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIK",
        "first_name": "BRIANNA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.