Individual provider Active NPI

Sarah Nicole Braciak, PA-C

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1639845613
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027042 Issued in NY
Practice address
40 George Karl Blvd
Williamsville, NY 14221-7183
Phone
(716) 218-1000
NPI assigned
Aug 19, 2021
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027042 NY Primary

Addresses

Primary practice location

40 George Karl Blvd
Williamsville, NY 14221-7183

Mailing address

601 Elmwood Ave Box 278984
Rochester, NY 14642-3029
Phone (585) 341-7500

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
I20210928001202 NY Practitioner - Physician Assistant 8628475092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3460

40 George Karl Blvd
Suite 200
Amherst, NY 14221-7183
Phone (716) 218-1000

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
87.1
Promoting interoperability
95
Improvement activities
40
Cost
86.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027042NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Oct 24, 2022 Accepting new patients
University of Rochester CurrentSince Sep 27, 2021 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester CurrentSince Sep 27, 2021 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients

Locations

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

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#278984
Rochester, NY 14642
Phone (585) 275-1200

40 George Karl Blvd
Williamsville, NY 14221

40 George Karl Blvd
Ste 200
Williamsville, NY 14221
Phone (715) 218-1000

Interoperability endpoints

  • Direct secure messaging: sbraciak@ubns.medentdirect.com

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, 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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1639845613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 278984",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146423029",
            "telephone_number": "585-341-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GEORGE KARL BLVD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217183",
            "telephone_number": "716-218-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACIAK",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.