Individual provider Active NPI

Pamela Tarapacki, AGPCNP-BC, DNP

  • Adult Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1912688920
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311432 Issued in NY
Practice address
297 Spindrift Dr
Williamsville, NY 14221-7894
Phone
(716) 831-2600
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311432 NY Primary

Addresses

Primary practice location

297 Spindrift Dr
Williamsville, NY 14221-7894

Mailing address

297 Spindrift Dr
Williamsville, NY 14221-7894
Phone (716) 831-2600

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
I20230908000778 NY Practitioner - Nurse Practitioner 5294199352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Dermatology PLLCGroup PAC ID 6103141619, 15 clinicians

Practice addresses (Care Compare)

297 Spindrift Dr
Suite 100
Williamsville, NY 14221-7894
Phone (716) 831-2600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Dermatology, PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

297 Spindrift Dr
Williamsville, NY 14221
Phone (716) 635-0688

297 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 631-8863

Organizations & group practices 1

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1912688920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217894",
            "telephone_number": "716-831-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217894",
            "telephone_number": "716-831-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAPACKI",
        "first_name": "PAMELA",
        "credential": "AGPCNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.