Kimberly Erin Minkler, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

349059 Issued in NY

Practice address

231 S Transit St Ste 104
Lockport, NY 14094-4836

Phone

(716) 514-4042

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Supportive Medical Partners, PLLC

  • Pain Medicine Physician
  • Cheektowaga, NY
  • NPI 1659338184
  Medicare reassignment NPD

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1982971487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S TRANSIT ST STE 104",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944836",
            "telephone_number": "716-514-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S TRANSIT ST STE 104",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944836",
            "telephone_number": "716-514-4042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143011136",
            "country_code": "US",
            "telephone_number": "716-282-1207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINKLER",
        "first_name": "KIMBERLY",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN198812",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "349059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Ann Miller, MS,PT
• Timothy Miller, ND, LAC
• Maria J Mills
• Erin Minderler
• Zachary W Miner, PA
• Nicole Lyn Miskell, LMT
• Amy M. Mitchell, LMSW
• Michele Nicole Mitchell, NURSE PRACTITIONER
• Gary A Mittlefehldt
• Jessica Monroe

• Nurse Practitioner in Lockport, NY
• Providers in Lockport, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.