Active NPI
Jeannette Willer
- Family Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 347912
- Practice address
- 100 High St
Buffalo, NY 14203-1126 - Phone
- (716) 859-1000
- NPI assigned
- Dec 13, 2019
- Last updated
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347912 | NY | Primary |
| Registered Nurse | 163W00000X | 735222 | NY |
Addresses
Primary practice location
100 High St
Buffalo, NY 14203-1126
Mailing address
75 Woodshire S
Getzville, NY 14068-1256
Other practice location 1
2157 Main St
Buffalo, NY 14214-2648
Phone (518) 389-8135
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Buffalo School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1400
6161 Transit Rd
Suite 4
East Amherst, NY 14051-2606
Phone (716) 320-0180
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 735222 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Buffalo Breathe Now Medical PC | Current | Accepting new patients | |
| Infinity Medical of Wny PC | Current | Accepting new patients | |
| Infinity Medical Group P.C. | Current | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
6161 Transit Rd
Ste 4
East Amherst, NY 14051
Phone (716) 320-0180
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Interoperability endpoints
- jewill@buffalobreathenow.medentdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- East Amherst, NY
- NPI 1285464479
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1841648011
-
- Hospitalist Physician
- Williamsville, NY
- NPI 1568883080
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Millard Fillmore Suburban Hospital
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
dba Millard Fillmore Gates Hospital
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1538707104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WOODSHIRE S",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140681256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031126",
"telephone_number": "716-859-1000"
}
],
"practiceLocations": [
{
"address_1": "2157 Main St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142142648",
"country_code": "US",
"telephone_number": "518-389-8135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLER",
"first_name": "JEANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2022-11-29",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347912",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "735222",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.