Active NPI
Stephanie Michelle Roberts, FNP
- Family Nurse Practitioner
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F349723
- Practice address
- 5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291 - Phone
- (716) 422-5677
- NPI assigned
- Oct 28, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F349723 | NY | Primary |
Addresses
Primary practice location
5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291
Mailing address
4481 Clinton St
West Seneca, NY 14224-1700
Phone (716) 517-6391
Other names 1
- Stephanie M Roberts
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F349723 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients |
Locations
1031 Michigan Ave
Buffalo, NY 14203
Phone (716) 686-8460
1014 Delaware Ave
Buffalo, NY 14209
Phone (716) 361-8616
3980A Sheridan Dr
Ste 200
Buffalo, NY 14226
Phone (716) 309-4772
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
5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677
Interoperability endpoints
- slatoszek@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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1760146450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4481 CLINTON ST",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142241700",
"telephone_number": "716-517-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 BIG TREE RD STE 102",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272291",
"telephone_number": "716-422-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F349723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "ROBERTS",
"middle_name": "M",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.