Active NPI
Lisa Marie Kalinka, NP
- Nurse Practitioner
- Amherst, NY
National Provider Identifier
1821136342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 304574
- Practice address
- 4979 Harlem Rd
Amherst, NY 14226-2547 - Phone
- (716) 923-4380
- Fax
- (716) 923-4384
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 304574 | NY | Primary |
Addresses
Primary practice location
4979 Harlem Rd
Amherst, NY 14226-2547
Mailing address
4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9514160 | Other | NY | INDEPENDENT HEALTH |
| 080725000013 | Other | NY | FIDELISCARE |
| 000529056003 | Other | NY | BC/BS |
| 02862568 | Medicaid | NY | |
| 000529056002 | Other | NY | BC/BS WNY |
Other names 1
- Lisa Marie Pennisten
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
- Erie County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Geriatric Associates, LLP | Past | Accepting new patients | |
| Buffalo Neurosurgery PC | Past | Accepting new patients |
Locations
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
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.
-
- Clinic/Center
- Buffalo, NY
- NPI 1528233616
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1922768621
-
- Neurological Surgery Physician
- West Seneca, NY
- NPI 1841278496
-
- Geriatric Medicine (Internal Medicine) Physician
- Williamsville, NY
- NPI 1750348306
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1821136342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4979 HARLEM RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262547",
"telephone_number": "716-923-4380",
"fax_number": "716-923-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4979 HARLEM RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262547",
"telephone_number": "716-923-4380",
"fax_number": "716-923-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALINKA",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "304574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9514160",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELISCARE",
"identifier": "080725000013",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000529056003",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02862568",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS WNY",
"identifier": "000529056002",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "PENNISTEN",
"middle_name": "MARIE",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.