Active NPI
Mary Christine Uebbing, NP
- Adult Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F3030191
- Practice address
- 40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344 - Phone
- (716) 893-1010
- Fax
- (716) 893-1002
- NPI assigned
- May 27, 2006
- Last updated
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F3030191 | NY | Primary |
Addresses
Primary practice location
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Mailing address
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Phone (716) 893-1010
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 Southwestern Blvd
Hamburg, NY 14075-1939
Phone (716) 648-2450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3030191 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Physician Services PLLC | Current | Accepting new patients | |
| Physician Mobile Medical Care PC | Current | Accepting new patients |
Locations
40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210
40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221
640 Ellicott St
Ste 105
Buffalo, NY 14203
Phone (716) 218-7169
4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450
Interoperability endpoints
- chrisu@mobileprimarycare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1194132415
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1518765502
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1730136805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LA RIVIERE DR STE 201",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024344",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LA RIVIERE DR STE 201",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024344",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UEBBING",
"first_name": "MARY",
"middle_name": "CHRISTINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F3030191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.