Individual provider Active NPI

Charlene Tymorek

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1861044190
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
344547 Issued in NY
Practice address
1001 Main St
Buffalo, NY 14203-1009
Phone
(716) 323-0556
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 344547 NY Primary

Addresses

Primary practice location

1001 Main St
Buffalo, NY 14203-1009

Mailing address

128 Jasmine Ave
West Seneca, NY 14224-4738

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
I20200203000509 NY Practitioner - Nurse Practitioner 5294161758 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 828-2898

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344547NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary'S Hospital of Niagara Falls Nurse Practitioner CurrentSince Dec 22, 2024 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Nov 9, 2020 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Dec 22, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 8, 2024 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Nov 9, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 8, 2024 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 8, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 8, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

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

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

2625 Harlem Rd
Ste 120
Cheektowaga, NY 14225
Phone (716) 891-2570

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1861044190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 JASMINE AVE",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMOREK",
        "first_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "344547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.