Individual provider Active NPI

Kyle Horton-Maser

  • Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1558754044
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F339463-1 Issued in NY
Practice address
297 Spindrift Dr
Suite 100
Williamsville, NY 14221-7894
Phone
(716) 831-2600
Fax
(716) 831-2601
NPI assigned
Mar 9, 2015
Last updated
Mar 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F339463-1 NY Primary

Addresses

Primary practice location

297 Spindrift Dr
Suite 100
Williamsville, NY 14221-7894

Mailing address

297 Spindrift Dr
Suite 100
Williamsville, NY 14221-7894
Phone (716) 831-2600

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
I20150610001054 NY Practitioner - Nurse Practitioner 8921329350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Dermatology PLLCGroup PAC ID 6103141619, 15 clinicians

Practice addresses (Care Compare)

297 Spindrift Dr
Suite 100
Williamsville, NY 14221-7894
Phone (716) 831-2600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F339463-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Dermatology, PLLC CurrentSince Apr 15, 2015 Accepting new patients

Locations

295 Spindrift Dr
Williamsville, NY 14221
Phone 7168312600 ext. 118

297 Spindrift Dr
Williamsville, NY 14221
Phone (716) 635-0688

297 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 631-8863

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1558754044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 SPINDRIFT DR",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217894",
            "telephone_number": "716-831-2600",
            "fax_number": "716-831-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 SPINDRIFT DR",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217894",
            "telephone_number": "716-831-2600",
            "fax_number": "716-831-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON-MASER",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F339463-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.