Stefania Fynn-Aikins, PMH NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Amherst, NY
NPI 1508955402 · NPPES record last updated Jan 31, 2012
Key facts
- NPI
- 1508955402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F401043 (NY)
- Practice address
- 4985 Harlem Road
Amherst, NY 14226 - Phone
- (716) 839-0500
- Fax
- (716) 839-0523
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brylin Hospitals, Inc
Olean General Hospital
Niagara Falls Memorial Medical Center
Practice addresses (Care Compare)
1263 Delaware Ave
Buffalo, NY 14209-2402
Phone (716) 886-8200
3802 Seneca St
West Seneca, NY 14224-3433
Phone (716) 677-5418
515 Main St
Olean, NY 14760-1513
Phone (716) 375-6993
621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070906000596 | NY | Practitioner - Nurse Practitioner | 5799878740 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401043 | NY | MD | Registered Nurse |
| 501436-1 | NY | MD | Registered Nurse |
| F401043 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Falls Memorial Medical Center | Current |
Accepting new patients | |
| Nurse Practitioner of Erie Niagara Psychiatry, PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Olean General Hospital | Current |
Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current |
Accepting new patients | |
| Olean General Hospital | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
515 Main St
Olean, NY 14760
Phone (716) 373-2600
515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993
3802 Seneca St
West Seneca, NY 14224
Phone (716) 677-5418
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
- https://fhir.meditouchehr.com/api/fhir/r4/
- sfynnaikins@npoenpp-ny.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 501436-1 | NY | |
| Nurse Practitioner | 363L00000X | F401043 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401043 | NY | Yes |
Addresses
Primary practice location
4985 Harlem Road
Amherst, NY 14226
Mailing address
4985 Harlem Road
Amherst, NY 14226
Phone (716) 839-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F401043 | Other | NY | PSYCHIATRIC NURSE |
| 501436-1 | Other | NY | RN |
| 00594876 | Medicaid | NY |
Other providers in Amherst, NY
- Janine I. Frijia
- Marc S Frost
- John Fudyma
- Teresa Anne Fugate
- Haley Joanne Funderburk
- Anna T Gach
- Gabrielle Frances Gaczewski
- Allison Gagliardi-Hernandez
- Jill Marie Gaglione
- Galante Performance Chiropractic PLLC
All providers in Amherst, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.