Individual provider Active NPI

Amanda Morrissey, PA

  • Physician Assistant
  • Amherst, NY
National Provider Identifier
1720489982
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017940 Issued in NY
Practice address
4949 Harlem Rd
Amherst, NY 14226-2500
Phone
(716) 204-3201
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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 017940 NY Primary

Addresses

Primary practice location

4949 Harlem Rd
Amherst, NY 14226-2500

Mailing address

4225 Genesee St Ste 400
Cheektowaga, NY 14225-1994
Phone (716) 906-5908

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
I20150128001664 NY Practitioner - Physician Assistant 2961726609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians

Practice addresses (Care Compare)

160 Farber Hall
Buffalo, NY 14214-8001
Phone (716) 829-2070

3085 Harlem Rd
Suite 150
Cheektowaga, NY 14225-2593
Phone (716) 844-5300

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3810

5959 Big Tree Rd
Orchard Park, NY 14127-2210
Phone (716) 204-3200

Merit-based Incentive Payment System (MIPS)

Final score
45.23 of 100Reported as group
Quality
27.79
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
77.6
Promoting interoperability
100
Improvement activities
40
Cost
81.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017940NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Services Inc. CurrentSince Sep 2, 2014 Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 25, 2014 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Sep 2, 2014 Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 25, 2014 Accepting new patients
University Radiology at Buffalo, Inc. Past Accepting new patients

Locations

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

4225 Genesee St
Ste 400
Cheektowaga, NY 14225
Phone (716) 906-5905

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

5959 Big Tree Rd
Ste 105
Orchard Park, NY 14127
Phone (716) 256-1114

111 N Maplemere Rd
Ste 100
Williamsville, NY 14221
Phone (716) 810-7997

5500 Main St
Ste 107
Williamsville, NY 14221
Phone (716) 906-5908

Interoperability endpoints

  • Direct secure messaging: acimorelli@ubortho.medentdirect.com

Organizations & group practices 6

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1720489982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GENESEE ST STE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251994",
            "telephone_number": "716-906-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-204-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSEY",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.