Individual provider Active NPI

Brianna Wesolowski

  • Family Nurse Practitioner
  • Brockport, NY
National Provider Identifier
1538878871
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352347-01 Issued in NY
Practice address
350 New Campus Dr
Brockport, NY 14420-2997
Phone
(585) 395-2211
NPI assigned
Nov 15, 2022
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F352347-01 NY Primary
Registered Nurse 163W00000X 753639 NY

Addresses

Primary practice location

350 New Campus Dr
Brockport, NY 14420-2997

Mailing address

6446 Rapids Rd
Lockport, NY 14094-9543
Phone (716) 946-2502

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
I20231222000550 NY Practitioner - Nurse Practitioner 5496105009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

2625 Harlem Rd
Suite 160
Cheektowaga, NY 14225-4033
Phone (716) 862-2570

2625 Harlem Rd
Suite 240
Cheektowaga, NY 14225-4031
Phone (716) 893-0333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
753639NYMDRegistered Nurse
F352347-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 27, 2024 Accepting new patients
Trinity Medical Wny PC CurrentSince Nov 6, 2023 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Trinity Medical Wny PC Family CurrentSince Nov 6, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients

Locations

144 Genesee St
Buffalo, NY 14203
Phone (716) 206-1510

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2625 Harlem Rd
Ste 160
Cheektowaga, NY 14225
Phone (716) 891-0818

2625 Harlem Rd
Ste 240
Cheektowaga, NY 14225
Phone (716) 893-0333

Interoperability endpoints

  • Direct secure messaging: bwesolowski27520@ehrdirect.uhhospitals.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1538878871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6446 RAPIDS RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949543",
            "telephone_number": "716-946-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NEW CAMPUS DR",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202997",
            "telephone_number": "585-395-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESOLOWSKI",
        "first_name": "BRIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352347-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "753639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.