Individual provider Active NPI

Lisa Hatrick, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1972225282
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404456 Issued in NY
Practice address
330 Delaware Ave
Buffalo, NY 14202-1804
Phone
(716) 842-2750
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404456 NY Primary

Addresses

Primary practice location

330 Delaware Ave
Buffalo, NY 14202-1804

Mailing address

120 McKinley Pkwy
Buffalo, NY 14220-2719
Phone (716) 984-2484

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
I20230501000804 NY Practitioner - Nurse Practitioner 7517322399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Services of Erie CountyGroup PAC ID 0143286328, 14 clinicians

Practice addresses (Care Compare)

330 Delaware Ave
Buffalo, NY 14202-1804
Phone (716) 335-7058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Services of Erie County CurrentSince Feb 10, 2023 Accepting new patients
Mental Health Services-Erie County Northwest Corporation I CurrentSince May 1, 2023 Accepting new patients

Locations

330 Delaware Ave
Buffalo, NY 14202
Phone (716) 335-7058

406 Vulcan St
Buffalo, NY 14207
Phone (716) 871-7092

2495 Elmwood Ave
Kenmore, NY 14217
Phone (716) 882-2127

Organizations & group practices 2

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1972225282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MCKINLEY PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202719",
            "telephone_number": "716-984-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021804",
            "telephone_number": "716-842-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATRICK",
        "first_name": "LISA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.