Individual provider Active NPI

Tracey Lynne Mason Kirisits, MS,RN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • West Seneca, NY
National Provider Identifier
1952817348
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
445850 Issued in NY
Practice address
1010 E and West Rd
West Seneca, NY 14224-3602
Phone
(716) 667-7034
Fax
(716) 667-7072
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 445850 NY Primary

Addresses

Primary practice location

1010 E and West Rd
West Seneca, NY 14224-3602

Mailing address

1010 E and West Rd
West Seneca, NY 14224-3602
Phone (716) 667-7034

Other names 1

  • Tracey L Olson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
445850NYMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1952817348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243602",
            "telephone_number": "716-667-7034",
            "fax_number": "716-667-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243602",
            "telephone_number": "716-667-7034",
            "fax_number": "716-667-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON KIRISITS",
        "first_name": "TRACEY",
        "middle_name": "LYNNE",
        "credential": "MS,RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "445850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "OLSON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.