Individual provider Active NPI

Tera Michelle Ciesla, RPA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1578658613
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008754 Issued in NY
Practice address
219 Bryant St
Buffalo, NY 14222-2006
Phone
(716) 878-7442
Fax
(716) 878-7101
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008754 NY Primary

Addresses

Primary practice location

219 Bryant St
Buffalo, NY 14222-2006

Mailing address

4511 Harlem Rd
Suite 202
Amherst, NY 14226-3822
Phone (716) 839-6720

Other identifiers 5

IdentifierTypeStateIssuer
000570437002OtherBC/BS
9511829OtherIHA
FIDELISOther050711000014
UNIVERAOther00026559809
02504589MedicaidNY

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
I20050113000586 NY Practitioner - Physician Assistant 9830148154 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Mar 1, 2022 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Kaleida Health Past Accepting new patients
Niagara Falls Memorial Medical Center Past Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Organizations & group practices 9

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1578658613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HARLEM RD",
            "address_2": "SUITE 202",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263822",
            "telephone_number": "716-839-6720",
            "fax_number": "716-839-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BRYANT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222006",
            "telephone_number": "716-878-7442",
            "fax_number": "716-878-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLA",
        "first_name": "TERA",
        "middle_name": "MICHELLE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000570437002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9511829",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "050711000014",
            "identifier": "FIDELIS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00026559809",
            "identifier": "UNIVERA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02504589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.