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Individual provider Active NPI

Kimberly Bielata, CRNP

  • Family Nurse Practitioner
  • Salamanca, NY
National Provider Identifier
1588056675
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339474 Issued in NY
Practice address
445 Broad St
Salamanca, NY 14779-1424
Phone
(716) 375-7500
NPI assigned
Feb 26, 2015
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339474 NY Primary

Addresses

Primary practice location

445 Broad St
Salamanca, NY 14779-1424

Mailing address

40 Price Ave
Jamestown, NY 14701-4239
Phone (716) 397-6419

Other practice location 1

135 N Union St
Olean, NY 14760-2736
Phone (716) 375-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520001039 NY Practitioner - Nurse Practitioner 4688994353 Reassigns benefits to 2 organizations

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
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

135 N Union St
Olean, NY 14760-2736
Phone 71637575006879

15 S Main St
Jamestown, NY 14701-6627

31 Sherman St
Suite 2400
Jamestown, NY 14701-7082
Phone (814) 483-5306

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339474NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Community Health Center Network, Inc. CurrentSince Jan 18, 2016 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
Southern Tier Community Health Center Network, Inc. CurrentSince Jan 18, 2016 Accepting new patients

Locations

132 W Main St
Cuba, NY 14727

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

135 N Union St
Olean, NY 14760

500 Main St
Olean, NY 14760
Phone (716) 373-2600

445 Broad St
Salamanca, NY 14779
Phone 71637575006879

Interoperability endpoints

  • Direct secure messaging: kimberly.a.bielata@upmcdirect.com
  • Direct secure messaging: kimberly.bielata@sthc.eclinicaldirectplus.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.

Hospital & facility affiliations 8

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1588056675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PRICE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014239",
            "telephone_number": "716-397-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROAD ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791424",
            "telephone_number": "716-375-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Union St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147602736",
            "country_code": "US",
            "telephone_number": "716-375-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELATA",
        "first_name": "KIMBERLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salamanca, NY

Sources for this page

Verify at the official NPI Registry.