Individual provider Active NPI

Cindy McConnell, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, NY
National Provider Identifier
1952052656
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403928-01 Issued in NY
Practice address
5775 Broadway St
Lancaster, NY 14086-2456
Phone
(716) 544-8848
Fax
(888) 612-0831
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 F403928-01 NY Primary

Addresses

Primary practice location

5775 Broadway St
Lancaster, NY 14086-2456

Mailing address

5 Satinwood Dr
Cheektowaga, NY 14225-3713
Phone (716) 867-9694

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
I20250929003179 NY Practitioner - Nurse Practitioner 8921504085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Nurse Practitioner in Psychiatry PLLCGroup PAC ID 4385149574, 3 clinicians

Practice addresses (Care Compare)

43 Central Ave
Lancaster, NY 14086-2151
Phone (716) 544-8848

5775 Broadway St
Suite 14
Lancaster, NY 14086-2456
Phone (716) 544-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F403928-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 16, 2025 Accepting new patients

Locations

5775 Broadway St
Ste 14
Lancaster, NY 14086
Phone (716) 544-8848

5775 Broadway St
Lancaster, NY 14086
Phone (716) 427-4803

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1952052656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SATINWOOD DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253713",
            "telephone_number": "716-867-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862456",
            "telephone_number": "716-544-8848",
            "fax_number": "888-612-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "CINDY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403928-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NY

Sources for this page

Verify at the official NPI Registry.