Individual provider Active NPI

Chelsea Alida Percy, P.A.-C

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1922472224
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019068 Issued in NY
Practice address
1150 Youngs Rd Ste 104
Williamsville, NY 14221-8024
Phone
(716) 636-7979
Fax
(716) 636-7993
NPI assigned
Nov 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 019068-1 NY
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 019068 NY Primary

Addresses

Primary practice location

1150 Youngs Rd Ste 104
Williamsville, NY 14221-8024

Mailing address

1150 Youngs Rd Ste 104
Williamsville, NY 14221-8024
Phone (716) 636-7979

Other practice location 1

5530 Sheridan Drive
Suite 1-B
Williamsville, NY 14221
Phone (716) 636-1947

Other names 1

  • Ms. Chelsea Alida Snyder 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
I20160112001924 NY Practitioner - Physician Assistant 0547562290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

6255 Sheridan Dr
Williamsville, NY 14221-4825
Phone (716) 636-7979

Hospital & facility affiliations

  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019068NYMDPhysician Assistant
019068-1NYMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: cpercy@highgatemedical.medentdirect.com

Organizations & group practices 2

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 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": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1922472224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD STE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218024",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD STE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218024",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Sheridan Drive",
            "address_2": "Suite 1-B",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "14221",
            "country_code": "US",
            "telephone_number": "716-636-1947",
            "fax_number": "716-636-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERCY",
        "first_name": "CHELSEA",
        "middle_name": "ALIDA",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019068-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "SNYDER",
            "middle_name": "ALIDA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.