Individual provider Active NPI

Jaela Elvera Agnello, D.C.

  • Chiropractor
  • Depew, NY
National Provider Identifier
1497290258
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012887-1 Issued in NY
Practice address
1276 French Rd
Depew, NY 14043-4882
Phone
(716) 668-3072
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012887-1 NY Primary

Addresses

Primary practice location

1276 French Rd
Depew, NY 14043-4882

Mailing address

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 947-0139

Other practice location 1

7060 Erie Rd
Suite 300
Derby, NY 14047-9430
Phone (716) 947-0139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170308000099 NY Practitioner - Chiropractic 7012291206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Spine Medical Services PLLCGroup PAC ID 9032103056, 56 clinicians

Practice addresses (Care Compare)

1276 French Rd
Depew, NY 14043-4882
Phone (716) 668-3072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012887-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Fitness Rehabilitation, PT, PLLC CurrentSince Nov 23, 2025 Accepting new patients
Western New York Fitness Rehabilitation, PT, PLLC CurrentSince Nov 23, 2025 Accepting new patients

Locations

425 Meyer Rd
West Seneca, NY 14224
Phone (716) 563-4811

Interoperability endpoints

  • Direct secure messaging: jagnello@invisionhealthbrainandspine.medentdirect.com

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1497290258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215771",
            "telephone_number": "716-947-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FRENCH RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434882",
            "telephone_number": "716-668-3072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7060 Erie Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "NY",
            "postal_code": "140479430",
            "country_code": "US",
            "telephone_number": "716-947-0139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNELLO",
        "first_name": "JAELA",
        "middle_name": "ELVERA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012887-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.