Individual provider Active NPI

Kristen Jean Kloosterman, NP

  • Women's Health Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1952563363
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
420889 Issued in NY
Practice address
920 Union Rd
West Seneca, NY 14224-3425
Phone
(716) 242-8240
Fax
(716) 297-4638
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 420889 NY Primary

Addresses

Primary practice location

920 Union Rd
West Seneca, NY 14224-3425

Mailing address

5320 Military Rd Ste 104
Lewiston, NY 14092-2149
Phone (716) 297-9379

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
I20100720000033 NY Practitioner - Nurse Practitioner 5799817284 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Medicine of Niagara, PLLC CurrentSince Nov 14, 2011 Accepting new patients
Bartels,Powalski & Weissman, MDS,PC CurrentSince Sep 2, 2021 Accepting new patients
Bartels, Powalski & Weissman, MD PC CurrentSince Sep 2, 2021 Accepting new patients
Eastern Niagara Radiology & Nuclear Medicine Associates, PC Past Accepting new patients

Locations

6440 Transit Rd
Depew, NY 14043
Phone (716) 684-5454

3834 Delaware Ave
Kenmore, NY 14217
Phone (716) 877-1221

5927 Military Rd
Lewiston, NY 14092
Phone (716) 297-9379

920 Union Rd
West Seneca, NY 14224
Phone (716) 242-8240

Interoperability endpoints

  • Direct secure messaging: kristen.kloosterman.p4@direct.usppny.nextgenshare.com
  • Direct secure messaging: npkloosterman@obgynpractice.medentdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GICIAA

Organizations & group practices 4

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1952563363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD STE 104",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-9379",
            "fax_number": "716-297-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243425",
            "telephone_number": "716-242-8240",
            "fax_number": "716-297-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOOSTERMAN",
        "first_name": "KRISTEN",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "420889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.