Individual provider Active NPI

Charlene L Conley, FNP

  • Family Nurse Practitioner
  • Lockport, NY
National Provider Identifier
1861456758
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3310851 Issued in NY
Practice address
6009 S Transit Rd
Lockport, NY 14094-6353
Phone
(716) 433-8751
Fax
(716) 433-8792
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3310851 NY Primary

Addresses

Primary practice location

6009 S Transit Rd
Lockport, NY 14094-6353

Mailing address

5879 Snyder Dr
Lockport, NY 14094-9497
Phone (716) 433-8751

Other identifiers 4

IdentifierTypeStateIssuer
9511785OtherNYINDEPENDENT HEALTH
040426002607OtherNYFIDELIS
000560122004OtherNYBCBS OF WNY
00026578701OtherNYUNIVERA

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
I20070814000658 NY Practitioner - Nurse Practitioner 0143311506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

6009 S Transit Rd
Suite 300
Lockport, NY 14094-6307
Phone (716) 656-4077

Hospital & facility affiliations

  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3310851NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Mar 19, 2017 Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 19, 2017 Accepting new patients
General Physician, PC CurrentSince Jan 14, 2019 Accepting new patients
Highgate Medical Group Family Medicine PastSince Jul 18, 2006 Accepting new patients
Highgate Medical Group PastSince Nov 13, 2022 Accepting new patients

Locations

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

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

5879 Snyder Dr
Lockport, NY 14094
Phone (716) 206-1503

6009 S Transit Rd
Ste 400
Lockport, NY 14094
Phone (716) 433-8751

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

Interoperability endpoints

  • Direct secure messaging: cconley@gppc.medentdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1861456758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5879 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-433-8751",
            "fax_number": "716-433-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 S TRANSIT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946353",
            "telephone_number": "716-433-8751",
            "fax_number": "716-433-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "CHARLENE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3310851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9511785",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426002607",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY",
            "identifier": "000560122004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026578701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.