Individual provider Active NPI

Chanda Gail Agro, FNP-C

  • Registered Nurse
  • Buffalo, NY
National Provider Identifier
1962546812
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
516958 Issued in NY
Practice address
173 High St
Buffalo, NY 14204-1152
Phone
(716) 885-9200
Fax
(716) 885-9201
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 516958 NY Primary
Family Nurse Practitioner 363LF0000X 333774 NY

Addresses

Primary practice location

173 High St
Buffalo, NY 14204-1152

Mailing address

103 White Cedar Dr
East Amherst, NY 14051-2465
Phone (716) 689-6263

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
I20110913000659 NY Practitioner - Nurse Practitioner 5799956298 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
516958NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Aug 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Aug 1, 2020 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Apr 1, 2021 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Apr 4, 2017 Accepting new patients
Trinity Medical Wny PC CurrentSince Apr 1, 2021 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Apr 4, 2017 Accepting new patients
Allscript Pharmacy,Inc. Past 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

430 Southside Pkwy
Buffalo, NY 14210
Phone (716) 816-4818

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

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

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

4600 Military Rd
Ste A
Niagara Falls, NY 14305
Phone (716) 298-4050

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 8

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962546812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WHITE CEDAR DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512465",
            "telephone_number": "716-689-6263",
            "fax_number": "716-885-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041152",
            "telephone_number": "716-885-9200",
            "fax_number": "716-885-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRO",
        "first_name": "CHANDA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "516958",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.