Emily Ebert, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

30 N Union Rd
Williamsville, NY 14221-5367

Phone

(716) 839-8000

NPI assigned

Jan 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care of Western New York LLPGroup PAC ID 5193746832, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emilye@primarycarewny.medentdirect.com

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.

• Primary Care of Western New York LLP

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1205845971
  Medicare reassignment Care Compare group
• Digestive Health Physicians, P.C.

  • Gastroenterology Physician
  • Cheektowaga, NY
  • NPI 1255323762
  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1508330119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lauren Eagen
• Ear,Nose&Throat Care of Wny PC
• Mary Beth Earl, N. P.
• Amy P Early, MD
• Ryan Eaton, RD
• Lynn Ebert, LPN
• Kimberly Ebling, L.P.N.
• Christine Victoria Echevarria, MSN RN CPNP-BC
• Shakisha Eckelberger, LPN
• Eckerd Corporation

• Physician Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.