Christine Wandzilak, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F339969-1 Issued in NY

Practice address

640 Ellicott St
Buffalo, NY 14203-1245

Phone

(716) 893-1010

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Irongate Family Practice Associates PLLC

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1851326326
  Medicare reassignment NPD
• Mobile Primary Care Family Nurse Practitioners, PLLC

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1669673349
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1952772154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031245",
            "telephone_number": "716-893-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDZILAK",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339969-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Walton, LPN
• Erik Waltz, PA
• Lisa A Walworth, RPH
• Carrie Ann Wanamaker, D.D.S.
• Janine Wanamaker, AGPCNP
• Alan Wang, M.D.
• Dawei David Wang, MD
• Eunice Wang, MD
• Gary Wang, MD
• Gloria Wang, M.D.

• Family Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.