Individual provider Active NPI

Pamela Mary Sheehan-Schreck, FNP

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1861773384
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F336871-1 Issued in NY
Practice address
239 Bryant St.
2ND Floor
Buffalo, NY 14222
Phone
(716) 878-7300
Fax
(716) 878-7339
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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 F336871-1 NY Primary

Addresses

Primary practice location

239 Bryant St.
2ND Floor
Buffalo, NY 14222

Mailing address

239 Bryant St
2ND Floor
Buffalo, NY 14222
Phone (716) 878-7300

Other names 1

  • Ms. Pamela Mary Sheehan Former name

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
I20190122002404 NY Practitioner - Nurse Practitioner 9830436344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

900 Hertel Ave
Buffalo, NY 14216-2611
Phone (716) 871-1571

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F336871-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Nov 24, 2018 Accepting new patients
Kaleida Health CurrentSince Nov 24, 2018 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

239 Bryant St
Fl 2
Buffalo, NY 14222
Phone (716) 878-7300

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

Organizations & group practices 3

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1861773384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BRYANT ST",
            "address_2": "2ND FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14222",
            "telephone_number": "716-878-7300",
            "fax_number": "716-878-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BRYANT ST.",
            "address_2": "2ND FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14222",
            "telephone_number": "716-878-7300",
            "fax_number": "716-878-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN-SCHRECK",
        "first_name": "PAMELA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F336871-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SHEEHAN",
            "middle_name": "MARY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.