Individual provider Active NPI

Ellen Kahle, RN, FNP

  • Family Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1689006009
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352738-01 Issued in NY
Practice address
240 Red Tail Rd Ste 5&6
Orchard Park, NY 14127-1581
Phone
(716) 656-4088
NPI assigned
Aug 8, 2013
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 F352738-01 NY Primary

Addresses

Primary practice location

240 Red Tail Rd Ste 5&6
Orchard Park, NY 14127-1581

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (716) 566-4077

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
I20231206002377 NY Practitioner - Nurse Practitioner 2163871856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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)

240 Red Tail Rd
Suite 5
Orchard Park, NY 14127-1582
Phone (716) 677-0454

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F352738-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Nov 13, 2023 Accepting new patients

Locations

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

268 Main St
East Aurora, NY 14052
Phone (716) 652-8606

240 Red Tail Rd
Ste 5
Orchard Park, NY 14127
Phone (716) 677-0454

240 Red Tail Rd
Ste 56
Orchard Park, NY 14127
Phone (716) 656-4088

240 Red Tail Rd
Ste 6
Orchard Park, NY 14127

5959 Big Tree Rd
Ste 103
Orchard Park, NY 14127

Interoperability endpoints

  • Direct secure messaging: ekahle@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1689006009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "716-566-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 RED TAIL RD STE 5&6",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271581",
            "telephone_number": "716-656-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLE",
        "first_name": "ELLEN",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352738-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.