Individual provider Active NPI

Mary L Schumer, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1821012683
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
360114 Issued in NY
Practice address
515 Abbott Rd
Ste 304
Buffalo, NY 14220-1700
Phone
(716) 828-3520
Fax
(716) 828-3550
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 360114 NY Primary

Addresses

Primary practice location

515 Abbott Rd
Ste 304
Buffalo, NY 14220-1700

Mailing address

515 Abbott Rd
Ste 304
Buffalo, NY 14220-1700
Phone (716) 828-3520

Other identifiers 5

IdentifierTypeStateIssuer
9512334OtherNYINDEPENDENT HEALTH
040426002643OtherNYFIDELIS
00026761502OtherNYUNIVERA
P00249206OtherNYRAILROAD MEDICARE
00056037703OtherNYBLUE CROSS OF WNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041019000143 NY Practitioner - Nurse Practitioner 5698735132 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 1, 2013 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 1, 2013 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 30, 2001 Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

515 Abbott Rd
Ste 304
Buffalo, NY 14220
Phone (716) 828-3520

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1821012683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD",
            "address_2": "STE 304",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-828-3520",
            "fax_number": "716-828-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD",
            "address_2": "STE 304",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-828-3520",
            "fax_number": "716-828-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMER",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "360114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512334",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426002643",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026761502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00249206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WNY",
            "identifier": "00056037703",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.