SEAN SIMANO
NPI 1043160278
Nurse Practitioner - Family in Buffalo, NY

Active since January 28, 2026PECOS EnrolledAccepts Medicare Assignment
6225 SHERIDAN DR STE 202, BUFFALO, NY 14221(716) 474-5983 Get Directions Write a Review

NPPES record last updated: February 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Simano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN SIMANO (NPI 1043160278) is an individual family provider in Buffalo, New York, licensed in New York (358995) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043160278
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSEAN SIMANO
Location Address6225 SHERIDAN DR STE 202Buffalo, NY 14221-4800
Mailing Address4255 Sowles RdHamburg, NY 14075-1505
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 28, 2026
Last NPPES UpdateFebruary 15, 2026
NPPES CertifiedFebruary 15, 2026
✔ NPI 1043160278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 358995
6225 SHERIDAN DR STE 202, Buffalo, NY 14221

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Simano is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577044759
PECOS Enrollment IDI20260225002983
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sean Simano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
60 BRYNSTONE CT
Amherst, NY 14228
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6225 SHERIDAN DR STE 202
BUFFALO, NY 14221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Simano's NPI number?

The NPI number for Sean Simano is 1043160278. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Sean Simano located?

Sean Simano practices at 6225 Sheridan Dr Ste 202, Buffalo, NY 14221. The listed phone number is (716) 474-5983.

What is Sean Simano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sean Simano enrolled in Medicare?

Yes. Sean Simano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sean Simano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Simano reassigns Medicare benefits to Wny House Physician PLLC (Amherst, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Simano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Simano affiliated with any hospitals?

According to CMS data, Sean Simano is affiliated with Sisters Of Charity Hospital.

When was this NPI record last updated?

The NPPES record for Sean Simano was last updated on February 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.