Individual provider Active NPI

Betsey Dechert-Boss, NP

  • Family Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1619998374
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330430 Issued in NY
Practice address
3675 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone
(716) 972-0279
Fax
(716) 972-0273
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330430 NY Primary
Diabetes Educator Registered Nurse 163WD0400X 389449 NY

Addresses

Primary practice location

3675 Southwestern Blvd
Orchard Park, NY 14127-1732

Mailing address

3675 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone (716) 972-0279

Other identifiers 8

IdentifierTypeStateIssuer
000560340005OtherNYBCBS WNY
000560340007OtherNYBC/BS DIAB. ED. SERV.
9513178OtherNYINDEPENDENT HEALTH
02345682MedicaidNY
00021052102OtherNYUNIVERA
P00356733OtherNYMEDICARE RAILROAD
000560340006OtherNYBCBS
177087BJOtherNYPREFERRED CARE

Other names 1

  • Betsey Dechert Former name

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
I20040331000263 NY Practitioner - Nurse Practitioner 6901898030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
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)

3075 Southwestern Blvd
Orchard Park, NY 14127-1236
Phone (716) 712-0490

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
389449NYMDDiabetes Educator Registered Nurse
F330430NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jun 10, 2024 Accepting new patients

Locations

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

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

3045 Southwestern Blvd
Ste 108
Orchard Park, NY 14127
Phone (716) 713-0464

3075 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 712-0490

Interoperability endpoints

  • Direct secure messaging: bdechert-boss@gppc.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1619998374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-972-0279",
            "fax_number": "716-972-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-972-0279",
            "fax_number": "716-972-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHERT-BOSS",
        "first_name": "BETSEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330430",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "389449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WNY",
            "identifier": "000560340005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS DIAB. ED. SERV.",
            "identifier": "000560340007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9513178",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02345682",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00021052102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00356733",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000560340006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "177087BJ",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSEY",
            "last_name": "DECHERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.