Individual provider Active NPI

Nikita Rose Depronio, AGNP

  • Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1952917866
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
309737 Issued in NY
Practice address
6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080
Phone
(716) 297-8260
Fax
(716) 297-1360
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 309737 NY
Nurse Practitioner 363L00000X 309737 NY Primary

Addresses

Primary practice location

6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080

Mailing address

6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080
Phone (716) 297-8260

Other practice location 1

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000

Other practice location 2

Elm and Carlton St
Buffalo, NY 14263-1426
Phone (716) 845-2300

Other names 1

  • Nikita Rose Morales Other 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
I20210823002384 NY Practitioner - Nurse Practitioner 9739584194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

2950 Elmwood Ave
Suite A1
Kenmore, NY 14217-1304
Phone (716) 529-3070

Hospital & facility affiliations

  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309737NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Trinity Medical Wny PC Adult Health Current Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Trinity Medical Wny PC CurrentSince Nov 10, 2022 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2950 Elmwood Ave
Ste A1
Kenmore, NY 14217
Phone (716) 529-3070

6934 Williams Rd
Ste 200
Niagara Falls, NY 14304
Phone (716) 297-8260

6934 Williams Rd
Niagara Falls, NY 14304
Phone (716) 298-5800

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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.

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1952917866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 WILLIAMS RD STE 200",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043080",
            "telephone_number": "716-297-8260",
            "fax_number": "716-279-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 WILLIAMS RD STE 200",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043080",
            "telephone_number": "716-297-8260",
            "fax_number": "716-297-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261727",
            "country_code": "US",
            "telephone_number": "716-250-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142631426",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPRONIO",
        "first_name": "NIKITA",
        "middle_name": "ROSE",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309737",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "309737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKITA",
            "last_name": "MORALES",
            "middle_name": "ROSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.