Active NPI
Jessica M Kostrewa, NP
- Nurse Practitioner
- Lockport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F306893
- Practice address
- 6000 Brockton Dr
Lockport, NY 14094-9273 - Phone
- (716) 845-3400
- Fax
- (716) 438-1430
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306893 | NY | |
| Nurse Practitioner | 363L00000X | F306893 | NY | Primary |
Addresses
Primary practice location
6000 Brockton Dr
Lockport, NY 14094-9273
Mailing address
199 Park Club LN Ste 500
Williamsville, NY 14221-5269
Phone (716) 845-1300
Other practice location 1
7500 Porter Rd
Niagara Falls, NY 14304-1604
Phone (716) 298-1273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04039149 | Medicaid | NY |
Other names 1
- Jessica M Vail
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
Enrollment records 1
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
Practice addresses (Care Compare)
199 Park Club LN
Williamsville, NY 14221-5269
6000 Brockton Dr
Lockport, NY 14094-9273
Phone (716) 845-3400
Hospital & facility affiliations
- Roswell Park Cancer Institute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306893 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Emergency Medical Services Inc. | Current | Accepting new patients | |
| Saif Soniwala,M.D.,PC | Current | Accepting new patients | |
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Trinity Medical Wny PC | Adult Health | Current | Accepting new patients |
| Rpci Oncology PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503
6000 Brockton Dr
Lockport, NY 14094
Phone (716) 439-0345
7500 Porter Rd
Niagara Falls, NY 14304
Phone (716) 298-1273
199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340
199 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 332-6834
199 Park Club Ln
Ste 500
Williamsville, NY 14221
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Williamsville, NY
- NPI 1952703985
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Hematology & Oncology Physician
- Williamsville, NY
- NPI 1114061942
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1548315401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1588066468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 PARK CLUB LN STE 500",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215269",
"telephone_number": "716-845-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 BROCKTON DR",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949273",
"telephone_number": "716-845-3400",
"fax_number": "716-438-1430"
}
],
"practiceLocations": [
{
"address_1": "7500 Porter Rd",
"address_purpose": "LOCATION",
"city": "Niagara Falls",
"state": "NY",
"postal_code": "143041604",
"country_code": "US",
"telephone_number": "716-298-1273",
"fax_number": "716-298-1285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSTREWA",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306893",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F306893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04039149",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "VAIL",
"middle_name": "M",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.