Individual provider Active NPI

Lori A Roessler, PA

  • Physician Assistant
  • Amherst, NY
National Provider Identifier
1790899144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009792 Issued in NY
Practice address
1185 Sweet Home Rd
Amherst University Health Center
Amherst, NY 14226
Phone
(716) 689-0040
Fax
(716) 568-2330
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 009792 NY Primary

Addresses

Primary practice location

1185 Sweet Home Rd
Amherst University Health Center
Amherst, NY 14226

Mailing address

800 Carter St
Attn Kelly Steele
Rochester, NY 14621
Phone (585) 339-4793

Other identifiers 7

IdentifierTypeStateIssuer
070206000001OtherNYFIDELIS LEGACY#
000924732003OtherNYHEALTH NOW BCBS LEGACY#
00026959502OtherNYUNIVERA LEGACY#
08494418MedicaidNY
9512762OtherNYIHA LEGACY#
195030BFOtherNYPREFERRED CARE #
070320000056OtherNYFIDELIS # FOR URGENT CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009792NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Dec 21, 2009 Accepting new patients
Kaleida Health CurrentSince Dec 21, 2009 Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients
Evergreen Family Medicine, PC PastSince Nov 1, 2000 Accepting new patients
Cheryl Newman MD, PLLC PastSince Sep 5, 2010 Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790899144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "address_2": "ATTN KELLY STEELE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-339-4793",
            "fax_number": "585-336-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 SWEET HOME RD",
            "address_2": "AMHERST UNIVERSITY HEALTH CENTER",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-689-0040",
            "fax_number": "716-568-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESSLER",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS LEGACY#",
            "identifier": "070206000001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW BCBS LEGACY#",
            "identifier": "000924732003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA LEGACY#",
            "identifier": "00026959502",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08494418",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA LEGACY#",
            "identifier": "9512762",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE #",
            "identifier": "195030BF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS # FOR URGENT CARE",
            "identifier": "070320000056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.