NPIMap

Individual provider Active NPI

Nicholas William Geisler, PA-C, MPAS

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1790418440
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028441-01 Issued in NY
Practice address
2350 Maple Rd Ste 100
Williamsville, NY 14221-4080
Phone
(716) 839-8000
NPI assigned
Jul 8, 2022
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028441-01 NY Primary

Addresses

Primary practice location

2350 Maple Rd Ste 100
Williamsville, NY 14221-4080

Mailing address

3349 Creekview Dr
Hamburg, NY 14075-3640

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
I20220809000616 NY Practitioner - Physician Assistant 7719369636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Western New York LLPGroup PAC ID 5193746832, 36 clinicians

Practice addresses (Care Compare)

30 N Union Rd
Williamsville, NY 14221-5367
Phone (716) 839-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
028441-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Physicians, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ngeisler@primarycarewny.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1790418440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 CREEKVIEW DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MAPLE RD STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214080",
            "telephone_number": "716-839-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISLER",
        "first_name": "NICHOLAS",
        "middle_name": "WILLIAM",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028441-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.