Individual provider Active NPI

Tracey Sakpal

  • Midwife
  • Fredonia, NY
National Provider Identifier
1649943549
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F002091-01 Issued in NY
Practice address
268 W Main St
Fredonia, NY 14063-2200
Phone
(716) 672-2000
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F002091-01 NY Primary

Addresses

Primary practice location

268 W Main St
Fredonia, NY 14063-2200

Mailing address

1 Crandall Ave
Silver Creek, NY 14136-1311

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028002080 NY Practitioner - Certified Nurse Midwife (CNM) 8123416864 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F002091-01NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince Jun 1, 2022 Accepting new patients
Apex Medical Associates of Wny, PLLC CurrentSince Sep 27, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jun 1, 2022 Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

4845 Transit Rd
Depew, NY 14043
Phone (716) 656-2200

Interoperability endpoints

  • Direct secure messaging: tsakpal@ogcwny.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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1649943549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRANDALL AVE",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141361311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 W MAIN ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140632200",
            "telephone_number": "716-672-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKPAL",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F002091-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

Verify at the official NPI Registry.