Individual provider Active NPI

Christien Eileen Olewniczak, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lancaster, NY
National Provider Identifier
1609498658
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345430-01 Issued in NY
Practice address
3592 Walden Ave Apt 3
Lancaster, NY 14086-1267
Phone
(716) 572-5946
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 F345430-01 NY Primary

Addresses

Primary practice location

3592 Walden Ave Apt 3
Lancaster, NY 14086-1267

Mailing address

3592 Walden Ave Apt 3
Lancaster, NY 14086-1267
Phone (716) 572-5946

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
I20220323000043 NY Practitioner - Nurse Practitioner 4183019409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians
County of NiagaraGroup PAC ID 4587640446, 5 clinicians

Practice addresses (Care Compare)

3218 Walden Ave
Depew, NY 14043-2878
Phone (716) 684-3500

5467 Upper Mountain Rd
Suite 200
Lockport, NY 14094-1854
Phone (716) 439-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F345430-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jotno Family Health Nurse Practitioner PLLC CurrentSince Mar 1, 2024 Accepting new patients
County of Niagara Current Accepting new patients
County of Niagara CurrentSince Jan 18, 2022 Accepting new patients
Wny Medical PC Family CurrentSince Jul 8, 2022 Accepting new patients
County of Niagara CurrentSince Jan 18, 2022 Accepting new patients
Tanvir Shagar NP in Family Health PLLC CurrentSince Apr 1, 2022 Accepting new patients
Southtowns Internal Medicine PC PastSince Jun 16, 2014 Accepting new patients

Locations

4985 Harlem Rd
Amherst, NY 14226
Phone (716) 204-9876

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

300 Dorrance Ave
Buffalo, NY 14220
Phone (716) 566-5252

3884 Broadway St
Cheektowaga, NY 14227
Phone (716) 681-9000

6970 Erie Rd
Ste A
Derby, NY 14047
Phone (716) 947-9147

2600 S Park Ave
Lackawanna, NY 14218
Phone (716) 822-2028

5467 Upper Mountain Rd
#200
Lockport, NY 14094
Phone (716) 439-7400

1001 11th St
Fl 3
Niagara Falls, NY 14301
Phone (716) 278-1900

1001 11th St
Niagara Falls, NY 14301
Phone (716) 278-1940

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

147 Reist St
Williamsville, NY 14221
Phone (716) 633-5400

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1609498658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 WALDEN AVE APT 3",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861267",
            "telephone_number": "716-572-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 WALDEN AVE APT 3",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861267",
            "telephone_number": "716-572-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEWNICZAK",
        "first_name": "CHRISTIEN",
        "middle_name": "EILEEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345430-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NY

Sources for this page

Verify at the official NPI Registry.