NURSE PRACTITIONER IN PSYCHIATRY OF WNY PC
NPI 1245129105
Nurse Practitioner - Psychiatric/Mental Health in Orchard Park, NY

Active since July 02, 2025
3911 N BUFFALO ST, ORCHARD PARK, NY 14127(716) 603-6680 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2025, Jul 2, 2025 (2 updates tracked since 2025).

About Nurse Practitioner In Psychiatry Of Wny Pc NPPES

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

NURSE PRACTITIONER IN PSYCHIATRY OF WNY PC (NPI 1245129105) is a healthcare organization registered as a psychiatric/mental health in Orchard Park, New York and active in the NPI registry since July 2025. The organization lists Julie Fitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1245129105
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNURSE PRACTITIONER IN PSYCHIATRY OF WNY PC
Location Address3911 N BUFFALO STOrchard Park, NY 14127-1841
Mailing Address3911 N Buffalo StOrchard Park, NY 14127-1841
Organization SubpartNo
Authorized OfficialJulie FittOwner · (716) 603-6680
Enumeration DateJuly 2, 2025
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1245129105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3911 N BUFFALO ST, Orchard Park, NY 14127

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nurse Practitioner In Psychiatry Of Wny Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nurse Practitioner In Psychiatry Of Wny PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1043909294
811 WILSHIRE BLVD
Los Angeles, CA 90017
(415) 412-4790
✔ PECOS2,205 mi
Nurse Practitioner
NPI 1477154573
811 WILSHIRE BLVD
Los Angeles, CA 90017
(716) 603-6680
✔ PECOS✔ Accepts Medicare2,205 mi

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

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 Nurse Practitioner In Psychiatry Of Wny PC's NPI number?

The NPI number for Nurse Practitioner In Psychiatry Of Wny PC is 1245129105. It was assigned to this organization in the NPPES registry on July 2, 2025.

Where is Nurse Practitioner In Psychiatry Of Wny PC located?

Nurse Practitioner In Psychiatry Of Wny PC is located at 3911 N Buffalo St, Orchard Park, NY 14127. The listed phone number is (716) 603-6680.

What is Nurse Practitioner In Psychiatry Of Wny PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nurse Practitioner In Psychiatry Of Wny PC enrolled in Medicare?

Yes. Nurse Practitioner In Psychiatry Of Wny PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nurse Practitioner In Psychiatry Of Wny PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Nurse Practitioner In Psychiatry Of Wny PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nurse Practitioner In Psychiatry Of Wny PC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.