Individual provider Active NPI

Nicole Lee Wedzina, ANP

  • Adult Health Nurse Practitioner
  • Blasdell, NY
National Provider Identifier
1962804369
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307066 Issued in NY
Practice address
3664 Blair CT
Blasdell, NY 14219-2539
Phone
(716) 383-9600
NPI assigned
Sep 17, 2014
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307066 NY Primary

Addresses

Primary practice location

3664 Blair CT
Blasdell, NY 14219-2539

Mailing address

3664 Blair CT
Blasdell, NY 14219-2539

Other practice location 1

515 Abbott Rd
Ste 25
Buffalo, NY 14220-1700
Phone (716) 812-2225

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
I20150216000100 NY Practitioner - Nurse Practitioner 6709101777 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
67.92
Promoting interoperability
99
Improvement activities
40
Cost
69.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 1, 2020 Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Suny Health Science Center at Syracuse Adult Health CurrentSince Aug 3, 2023 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Aug 3, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 1, 2020 Accepting new patients

Locations

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

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

515 Abbott Rd
Ste 25
Buffalo, NY 14220
Phone (716) 812-2225

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Interoperability endpoints

  • Direct secure messaging: nwedzina144404@direct.upstate.edu

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1962804369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 BLAIR CT",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142192539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 BLAIR CT",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142192539",
            "telephone_number": "716-383-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Abbott Rd",
            "address_2": "Ste 25",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142201700",
            "country_code": "US",
            "telephone_number": "716-812-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDZINA",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blasdell, NY

Sources for this page

Verify at the official NPI Registry.