Individual provider Active NPI

Annmarie Kenny, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1861645384
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F-401140-1 Issued in NY
Practice address
21 Linwood Ave
Williamsville, NY 14221-6501
Phone
(716) 626-9016
Fax
(716) 626-4271
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F-401140-1 NY Primary

Addresses

Primary practice location

21 Linwood Ave
Williamsville, NY 14221-6501

Mailing address

21 Linwood Ave
Williamsville, NY 14221-6501
Phone (716) 626-9016

Other identifiers 1

IdentifierTypeStateIssuer
03067374MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL akenny@pmhnpbc.com

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
I20101230000390 NY Practitioner - Nurse Practitioner 1759579089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of NiagaraGroup PAC ID 4587640446, 5 clinicians

Practice addresses (Care Compare)

2350 N Forest Rd
Suite 35B
Getzville, NY 14068-1296
Phone (716) 626-9016

475 S Transit St
Suite 500
Lockport, NY 14094-5562
Phone (716) 439-7410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F-401140-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Annmarie Kenny RN NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2014 Accepting new patients
Kaleida Health CurrentSince Sep 1, 2012 Accepting new patients
Kaleida Health CurrentSince Sep 1, 2012 Accepting new patients
Kaleida Health Current Accepting new patients

Locations

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

2350 N Forest Rd
Ste 35B
Getzville, NY 14068
Phone (716) 479-3703

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

21 Linwood Ave
Williamsville, NY 14221
Phone (716) 525-4753

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1861645384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016",
            "fax_number": "716-626-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016",
            "fax_number": "716-626-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "ANNMARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F-401140-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03067374",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "akenny@pmhnpbc.com",
            "affiliation": "N",
            "address_1": "21 Linwood Ave",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142216501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.