Individual provider Active NPI

Harmony R Depan, RPAC

  • Physician Assistant
  • Forestville, NY
National Provider Identifier
1841294675
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007348 Issued in NY
Practice address
10988 Bennett State Rd
Forestville, NY 14062-9714
Phone
(716) 732-7770
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 007348 NY Primary

Addresses

Primary practice location

10988 Bennett State Rd
Forestville, NY 14062-9714

Mailing address

107 Institute St
Jamestown, NY 14701-6628
Phone (716) 484-4334

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
I20040915000979 NY Practitioner - Physician Assistant 4587631882 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc CurrentSince Jan 12, 2026 Accepting new patients
The Chautauqua Center, Inc CurrentSince Jan 12, 2026 Accepting new patients
Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center PastSince Aug 6, 2006 Accepting new patients
Chautauqua PT OT & SLP Professionals PLLC Past Accepting new patients

Locations

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

10988 Bennett State Rd
Forestville, NY 14062
Phone (716) 732-7770

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

Interoperability endpoints

  • Direct secure messaging: hrdepan@bufforthopedics.medentdirect.com
  • FHIR API: https://api.platform.athenahealth.com/22211/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chautauqua Center Inc 35 clinicians

Practice addresses (Care Compare)

10988 Bennett State Rd
Forestville, NY 14062-9999
Phone (716) 965-9738

Hospital & facility affiliations

  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.58
Improvement activities
40
Cost
86.08

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1841294675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 INSTITUTE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016628",
            "telephone_number": "716-484-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10988 BENNETT STATE RD",
            "city": "FORESTVILLE",
            "state": "NY",
            "postal_code": "140629714",
            "telephone_number": "716-732-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAN",
        "first_name": "HARMONY",
        "middle_name": "R",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, NY

Sources for this page

Verify at the official NPI Registry.