NPIMap

Individual provider Active NPI

Kariann Melissa Womer, RPA-C

  • Medical Physician Assistant
  • Tonawanda, NY
National Provider Identifier
1720397680
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014297 Issued in NY
Practice address
1491 Sheridan Dr Ste 100
Tonawanda, NY 14217-1234
Phone
(716) 332-4476
Fax
(716) 447-1286
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014297 NY Primary

Addresses

Primary practice location

1491 Sheridan Dr Ste 100
Tonawanda, NY 14217-1234

Mailing address

1491 Sheridan Drive
Suite 100
Tonawanda, NY 14217
Phone (716) 332-4476

Other names 1

  • Kariann Melissa Mech Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000172 NY Practitioner - Physician Assistant 3678757572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sheridan Drive Medical Group LLPGroup PAC ID 8820900376, 9 clinicians

Practice addresses (Care Compare)

1491 Sheridan Dr
Suite 100
Tonawanda, NY 14217-1234
Phone 7163324476323

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Acute Care Specialists PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kwomer@sheridanmedgroup.medentdirect.com

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 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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720397680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-332-4476",
            "fax_number": "716-447-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 SHERIDAN DR STE 100",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171234",
            "telephone_number": "716-332-4476",
            "fax_number": "716-447-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMER",
        "first_name": "KARIANN",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIANN",
            "last_name": "MECH",
            "middle_name": "MELISSA",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.