Individual provider Active NPI

Cheryl Spulecki, CRNA

  • Certified Registered Nurse Anesthetist
  • Buffalo, NY
National Provider Identifier
1801872957
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
418161 Issued in NY
Practice address
Elm and Carlton St
Buffalo, NY 14263-0001
Phone
(716) 845-2300
Fax
(715) 845-8518
NPI assigned
Dec 21, 2005
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 418161 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Buffalo, NY 14263-0001

Mailing address

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000518 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406987452 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew J. Siedlecki, M.D., PCGroup PAC ID 2860457025, 13 clinicians
Southtowns Ambulatory Anesthesia PLLCGroup PAC ID 6103114764, 9 clinicians

Practice addresses (Care Compare)

170 Maple Rd
Williamsville, NY 14221-2930
Phone (716) 634-8500

5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 984-7840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
418161NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fichte-Endl & Elmer Eye Surgery, PC CurrentSince Jan 3, 2025 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2023 Accepting new patients
Fichte, Endl & Elmer Eye Surgery PC CurrentSince Jan 3, 2025 Accepting new patients
Andrew J. Siedlecki, M.D., PC CurrentSince Aug 1, 2016 Accepting new patients
Southtowns Ambulatory Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2016 Accepting new patients
Sunrise Surgery Center LLC CurrentSince Sep 1, 2021 Accepting new patients
Niagara Frontier Anesthesia Services LLP Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2013 Accepting new patients
Buffalo Advanced Medical, P.C. Past Accepting new patients

Locations

2825 Niagara Falls Blvd
Ste 130
Buffalo, NY 14228
Phone (716) 564-2020

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

3349 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 508-0995

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

170 Maple Rd
Williamsville, NY 14221
Phone (716) 634-4050

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1801872957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300",
            "fax_number": "715-845-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300",
            "fax_number": "715-845-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPULECKI",
        "first_name": "CHERYL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "418161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.