Nicole Marie Wise, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344026 Issued in NY

Practice address

235 North St
Buffalo, NY 14201-1435

Phone

(716) 882-0726

Fax

(716) 882-3484

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nwise@wnymedical.medentdirect.com

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.

• Wny Medical PC

  • Internal Medicine Physician
  • Amherst, NY
  • NPI 1154421246

  Family

  Medicare reassignment Care Compare group NPD
• Andrew Charles Matteliano, M.D.

  • Specialist
  • Buffalo, NY
  • NPI 1629029418
  Medicare reassignment
• Southtowns Internal Medicine PC

  • Internal Medicine Physician
  • Orchard Park, NY
  • NPI 1356447270
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1770044398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 SOUTHSIDE DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756924",
            "telephone_number": "716-392-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011435",
            "telephone_number": "716-882-0726",
            "fax_number": "716-882-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wnypt235@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "235 North St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142011435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacob Winters
• Holly Wintringer, LMHC
• Bridget Wirth, PA
• Kathryn Wirth, PA
• Claire Theresa Wise, PA
• Sylvia Jean Wisher, OTR
• Lydia Marie Wishman
• Sarah Wisnieski
• Michael Wisniewski
• Michelle Marie Wisniewski

• Family Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.

Verify at the official NPI Registry.