Individual provider Active NPI

Erica Ann Patino, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1619983434
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303147-2 Issued in NY
Practice address
6333 Main St
Suite 2
Williamsville, NY 14221-5800
Phone
(716) 630-1484
Fax
(716) 630-1413
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303147-2 NY Primary

Addresses

Primary practice location

6333 Main St
Suite 2
Williamsville, NY 14221-5800

Mailing address

6255 Sheridan Dr
Suite 304
Williamsville, NY 14221-4836
Phone (716) 857-8666

Other identifiers 5

IdentifierTypeStateIssuer
P00100487OtherNYRR MEDICARE
9512329OtherNYIHA
000560680002OtherNYHEALTH NOW
02344392MedicaidNY
161000580OtherNYNOVA

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
I20100121000600 NY Practitioner - Nurse Practitioner 5698817203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

705 Maple Rd
Williamsville, NY 14221-3291
Phone (716) 656-4077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303147-2NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. CurrentSince Dec 13, 2009 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Dec 13, 2009 Accepting new patients
General Physician, PC CurrentSince Aug 15, 2015 Accepting new patients

Locations

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

3495 Bailey Ave
Buffalo, NY 14215
Phone (716) 862-8881

875 Ellicott St
Buffalo, NY 14203
Phone (716) 748-2000

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

7060 Erie Rd
Derby, NY 14047
Phone (716) 677-2273

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

849 Route 5 and 20
Irving, NY 14081
Phone (716) 934-1081

160 East Ave
Lockport, NY 14094
Phone (716) 434-6141

571 10th St
Ste 1
Niagara Falls, NY 14301

415 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2691

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

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

535 Main St
Olean, NY 14760
Phone (716) 372-0141

2223 W State St
Ste 120
Olean, NY 14760
Phone (716) 372-7337

5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

705 Maple Rd
Ste 300
Williamsville, NY 14221
Phone (716) 631-8400

6333 Main St
Ste 2
Williamsville, NY 14221
Phone (716) 630-1484

6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666

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

705 Maple Rd
Williamsville, NY 14221
Phone (716) 580-7300

295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050

Interoperability endpoints

  • Direct secure messaging: epatino@gppc.medentdirect.com

Organizations & group practices 3

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.

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1619983434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR",
            "address_2": "SUITE 304",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214836",
            "telephone_number": "716-857-8666",
            "fax_number": "716-857-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 MAIN ST",
            "address_2": "SUITE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215800",
            "telephone_number": "716-630-1484",
            "fax_number": "716-630-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303147-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00100487",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "000560680002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02344392",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "161000580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.