Individual provider Active NPI

Karen Hay Binis, NP

  • Adult Health Nurse Practitioner
  • Depew, NY
National Provider Identifier
1821158866
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303557 Issued in NY
Practice address
3332 Walden Ave
110
Depew, NY 14043-2400
Phone
(716) 668-7051
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303557 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340540 NY

Addresses

Primary practice location

3332 Walden Ave
110
Depew, NY 14043-2400

Mailing address

3332 Walden Ave
110
Depew, NY 14043-2400
Phone (716) 668-7051

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
I20170928000030 NY Practitioner - Nurse Practitioner 5799065207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Drive Medical Group LLP 9 clinicians

Practice addresses (Care Compare)

1491 Sheridan Dr
Suite 100
Tonawanda, NY 14217-1234
Phone 7163324476323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303557NYMDAdult Health Nurse Practitioner
F340540NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice of New York Medical PC CurrentSince Sep 1, 2017 Accepting new patients
Sheridan Drive Medical Group LLP CurrentSince Mar 12, 2018 Accepting new patients

Locations

3332 Walden Ave
Ste 110
Depew, NY 14043
Phone (716) 668-7051

1491 Sheridan Dr
Ste 100
Tonawanda, NY 14217
Phone (716) 332-4476

Interoperability endpoints

  • FHIR API: https://fhir.medent.com/fhir/R4/3P171181
  • Direct secure messaging: kbinis@sheridanmedgroup.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1821158866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 WALDEN AVE",
            "address_2": "110",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432400",
            "telephone_number": "716-668-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 WALDEN AVE",
            "address_2": "110",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432400",
            "telephone_number": "716-668-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINIS",
        "first_name": "KAREN",
        "middle_name": "HAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303557",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

Verify at the official NPI Registry.