Nicole Lee Faulkner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341977 Issued in NY

Practice address

2950 Elmwood Ave RM 4014
Kenmore, NY 14217-1304

Phone

(716) 447-6100

NPI assigned

Jul 18, 2017

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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buffalo-Niagara Hospitalists LLCGroup PAC ID 3375789050, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Buffalo-Niagara Hospitalists LLC

  • Hospitalist Physician
  • Kenmore, NY
  • NPI 1871830208
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Care Compare affiliation
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1780107102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-447-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVE RM 4014",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-447-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Medical Care of Wny PLLC
• Breanna Eyermann, COTA
• Stephany Michelle Facklam, OTR/L
• Donelle Teresa Falco, LMT
• Kelly E Farrell, PA
• Elizabeth Fazio
• Phoebe Grace Federow
• Nicole Marie Fernandez
• Carolyn Ann Fetes, RN
• Craig M Fetterman, DO

• Family Nurse Practitioner in Kenmore, NY
• Providers in Kenmore, 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 Jul 18, 2017; 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.