Individual provider Active NPI

Sarah J Mackinnon, FNP-BC

  • Family Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1659724284
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340833-1 Issued in NY
Practice address
310 Sterling Dr Ste 100
Orchard Park, NY 14127-1500
Phone
(716) 677-6800
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 F340833-1 NY Primary

Addresses

Primary practice location

310 Sterling Dr Ste 100
Orchard Park, NY 14127-1500

Mailing address

310 Sterling Dr Ste 100
Orchard Park, NY 14127-1500
Phone (716) 677-6800

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
I20161109002177 NY Practitioner - Nurse Practitioner 2961781208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1500
Phone (716) 677-6800

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340833-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Oct 8, 2018 Accepting new patients
Trinity Medical Wny PC CurrentSince Oct 8, 2018 Accepting new patients

Locations

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

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

310 Sterling Dr
Ste 100
Orchard Park, NY 14127
Phone (716) 677-6800

224 E Main St
Springville, NY 14141
Phone (716) 592-2871

Interoperability endpoints

  • Direct secure messaging: sarah_krempa@yourcarecommunity.org
  • Direct secure messaging: skrempa21399@direct.chsbuffalo.org

Organizations & group practices 2

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 3

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1659724284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STERLING DR STE 100",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271500",
            "telephone_number": "716-677-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STERLING DR STE 100",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271500",
            "telephone_number": "716-677-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340833-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.