NPIMap

Individual provider Active NPI

Melanie Vaughn, FNP-BC

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1730895095
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
347522 Issued in NY
Practice address
1091 Main St
Buffalo, NY 14209-2305
Phone
(716) 852-4772
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 347522 NY Primary

Addresses

Primary practice location

1091 Main St
Buffalo, NY 14209-2305

Mailing address

325 Cumberland Ave
Buffalo, NY 14220-1718
Phone (716) 866-6901

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
I20230315001447 NY Practitioner - Nurse Practitioner 6406220474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 961-9900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
347522NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Mar 1, 2023 Accepting new patients

Locations

1031 Michigan Ave
Buffalo, NY 14203
Phone (716) 686-8460

1091 Main St
Ste 301GP
Buffalo, NY 14209

3980A Sheridan Dr
Ste 200
Buffalo, NY 14226
Phone (716) 309-4772

1014 Delaware Ave
Buffalo, NY 14209
Phone (716) 361-8616

1091 Main St
Ste 301
Buffalo, NY 14209
Phone (716) 248-1420

1091 Main St
Buffalo, NY 14209
Phone (716) 242-8200

726 Exchange St
Ste 516
Buffalo, NY 14210

4893 Transit Rd
Depew, NY 14043
Phone (716) 608-7040

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

5775 Maelou Dr
Hamburg, NY 14075
Phone (716) 648-2820

104 Old Niagara Rd
Lockport, NY 14094
Phone (716) 434-6093

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

Interoperability endpoints

  • Direct secure messaging: mjanulewicz@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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1730895095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CUMBERLAND AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201718",
            "telephone_number": "716-866-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092305",
            "telephone_number": "716-852-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MELANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "347522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.