MRS. KARMELL J MACORETTA NP
NPI 1154324028
Nurse Practitioner - Adult Health in Williamsville, NY

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
91.13/100
CMS Quality Rating
342 HARRIS HILL RD, STE 5, WILLIAMSVILLE, NY 14221(716) 204-0777(716) 204-0774 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Karmell J Macoretta Np NPPES

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

MRS. KARMELL J MACORETTA NP (NPI 1154324028) is an individual adult health provider in Williamsville, New York, licensed in New York (F303928) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Niagara Falls Memorial Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (2003).

NPPES Registry Identity

NPI1154324028
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KARMELL J MACORETTACredential: NP
Location Address342 HARRIS HILL RD, STE 5Williamsville, NY 14221-7472
Mailing Address342 Harris Hill Rd, Ste 5Williamsville, NY 14221-7472 · (716) 204-0777 · Fax (716) 204-0774
Fax(716) 204-0774
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2003
Enumeration DateMay 24, 2005
Last NPPES UpdateJune 1, 2009
NPI 1154324028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F303928
342 HARRIS HILL RD, Williamsville, NY 14221

Other Identifiers 6

Other9512183NY · Independent Health
Medicare UPINQ11357NY
Medicaid02499521NY
Medicare ID-Type UnspecifiedRA1298NY
Other00026585601NY · Univera
Other000560843001NY · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karmell J Macoretta Np 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 ID446240212
PECOS Enrollment IDI20040513001261
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

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

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability99
Improvement Activities40
Cost89.06

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 Karmell Macoretta's NPI number?

The NPI number for Karmell Macoretta is 1154324028. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Karmell Macoretta located?

Karmell Macoretta practices at 342 Harris Hill Rd Ste 5, Williamsville, NY 14221. The listed phone number is (716) 204-0777.

What is Karmell Macoretta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karmell Macoretta enrolled in Medicare?

Yes. Karmell Macoretta 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.

Is Karmell Macoretta affiliated with any hospitals?

According to CMS data, Karmell Macoretta is affiliated with Niagara Falls Memorial Medical Center, Sisters Of Charity Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Karmell Macoretta was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.