Individual provider Active NPI

Kimberly Kohler, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1568070779
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346094 Issued in NY
Practice address
Elm and Carlton St
Buffalo, NY 14263
Phone
(716) 845-2300
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 346094 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 346094 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Buffalo, NY 14263

Mailing address

Elm and Carlton St
Buffalo, NY 14263
Phone (716) 845-2300

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
I20210125002884 NY Practitioner - Nurse Practitioner 1153735600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians
Mount St. Marys Hospital of Niagara FallsGroup PAC ID 4082523790, 89 clinicians
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346094NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Park Cancer Institute CurrentSince May 2, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 14, 2021 Accepting new patients
Mercy Hospital of Buffalo Single Specialty CurrentSince Jan 4, 2021 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Single Specialty CurrentSince Jul 14, 2021 Accepting new patients
Eastern Great Lakes Pathology PC Single Specialty Current Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Nurse Practitioner CurrentSince Jan 4, 2021 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Single Specialty CurrentSince Jan 4, 2021 Accepting new patients
Roswell Park Cancer Institute Single Specialty CurrentSince May 2, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Single Specialty Current Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

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

Elm and Carlton St
Buffalo, NY 14263

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

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

3669 Southwestern Blvd
Ste 100
Orchard Park, NY 14127

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Interoperability endpoints

  • Direct secure messaging: kkohler@landmarkhealth-direct.org

Organizations & group practices 10

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.

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1568070779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14263",
            "telephone_number": "716-845-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14263",
            "telephone_number": "716-845-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-04-02",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "346094",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.