CONNOR VANKO PA
NPI 1275011066
Physician Assistant - Surgical in Lockport, NY

Active since August 02, 2018PECOS EnrolledAccepts Medicare Assignment
6001 SHIMER DR, LOCKPORT, NY 14094(716) 419-0400 Get Directions Write a Review

NPPES record last updated: October 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2025, Jun 24, 2020, Aug 2, 2018 (3 updates tracked since 2018).

About Connor Vanko Pa NPPES

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

CONNOR VANKO PA (NPI 1275011066) is an individual surgical provider in Lockport, New York, licensed in New York (033962) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Mount St. Mary's Hospital & Health Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275011066
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCONNOR VANKOCredential: PA
Location Address6001 SHIMER DRLockport, NY 14094-6412
Mailing Address144 Genesee StBuffalo, NY 14203-1560 · (716) 204-1101
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 2, 2018
Last NPPES UpdateOctober 18, 20253 updates tracked since enumeration
NPPES CertifiedOctober 18, 2025
NPI 1275011066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 033962
Also ListedPhysical TherapistTaxonomy 225100000X · License 043542 (NY)
6001 SHIMER DR, Lockport, NY 14094

Other Names 1

Former Name (1)Connor Vankouwenberg Pt

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

Connor Vanko Pa 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 ID8426387622
PECOS Enrollment IDI20260107001293
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.

Hospital Affiliations CMS Care Compare

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

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

Other Providers at the Same Location NPPES 2

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

Pharmacist
6001 SHIMER DR
LOCKPORT, NY 14094
Physician Assistant (Medical)
6001 SHIMER DR
LOCKPORT, NY 14094

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 Connor Vanko's NPI number?

The NPI number for Connor Vanko is 1275011066. It was assigned to this individual provider in the NPPES registry on August 2, 2018. The provider is also known as Connor Vankouwenberg Pt.

Where is Connor Vanko located?

Connor Vanko practices at 6001 Shimer Dr, Lockport, NY 14094. The listed phone number is (716) 419-0400.

What is Connor Vanko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Connor Vanko enrolled in Medicare?

Yes. Connor Vanko 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 Connor Vanko affiliated with any hospitals?

According to CMS data, Connor Vanko is affiliated with Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Connor Vanko was last updated on October 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.