Individual provider Active NPI

Amber Michelle Nocek, PA-C

  • Physician Assistant
  • North Tonawanda, NY
National Provider Identifier
1730178088
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
525 Wheatfield St Ste 10
North Tonawanda, NY 14120-7034
Phone
(716) 692-7156
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary
Physician Assistant 363A00000X 014628-1 NY

Addresses

Primary practice location

525 Wheatfield St Ste 10
North Tonawanda, NY 14120-7034

Mailing address

525 Wheatfield St Ste 10
North Tonawanda, NY 14120-7034
Phone (716) 692-7156

Other names 1

  • Amber Michelle Gage Former name

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
I20110518000170 NY Practitioner - Physician Assistant 8729171079 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014628-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital PastSince Apr 1, 2006 Accepting new patients
Warren General Hospital Past Accepting new patients

Organizations & group practices 3

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1730178088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WHEATFIELD ST STE 10",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141207034",
            "telephone_number": "716-692-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WHEATFIELD ST STE 10",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141207034",
            "telephone_number": "716-692-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCEK",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014628-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "GAGE",
            "middle_name": "MICHELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.