Individual provider Active NPI

Nicole Ann Stuber, PA

  • Medical Physician Assistant
  • Amherst, NY
National Provider Identifier
1598402703
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3980 Sheridan Dr
Amherst, NY 14226-1727
Phone
(716) 541-0224
Fax
(716) 839-0525
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3980 Sheridan Dr
Amherst, NY 14226-1727

Mailing address

855 Wehrle Dr
Williamsville, NY 14221-7728
Phone (716) 425-2436

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
I20220804003181 NY Practitioner - Physician Assistant 9133501356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

1 White Springs Rd
Suite D
Geneva, NY 14456-3015
Phone (315) 230-4074

1092 Route 222
Cortland, NY 13045-1831
Phone (607) 218-3708

1238 E Ridge Rd
Rochester, NY 14621-2012
Phone (585) 537-3792

1597 Elmwood Ave
Buffalo, NY 14207-3017
Phone (716) 262-3161

1751 Sheridan Dr
Tonawanda, NY 14223-1211
Phone (716) 844-7100

18 Courtney Dr
Fairport, NY 14450-3338
Phone (585) 421-7537

200 E 1St St
Oswego, NY 13126-2662
Phone (315) 207-7391

290 Eastern Blvd
Canandaigua, NY 14424-2225
Phone (585) 412-5630

3190 Niagara Falls BVLD
Amherst, NY 14228-1639
Phone (716) 799-8190

3648 Dewey Ave
Rochester, NY 14616-3024
Phone (585) 786-3503

3800 W Genesee St
Syracuse, NY 13219-1928
Phone (315) 552-9080

3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319

4189 Veterans Memorial Dr
Batavia, NY 14020-1274
Phone (585) 201-5598

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

4827 Transit Rd
Depew, NY 14043-4788
Phone (716) 771-3394

4923 Southwestern Blvd
Hamburg, NY 14075-2616
Phone (716) 926-6358

4995 Wintersweet Dr
Liverpool, NY 13088-2176
Phone (315) 401-3210

5495 Sheridan Dr
Buffalo, NY 14221-3609
Phone (716) 932-1198

6555 4TH Section Rd
Brockport, NY 14420-2441
Phone (585) 431-5364

6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

740 S Main St
Ithaca, NY 14850-5377
Phone (607) 319-4563

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

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

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1598402703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217728",
            "telephone_number": "716-425-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-541-0224",
            "fax_number": "716-839-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBER",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.