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KMC NURSE PRACTITIONER IN ADULT HEALTH PLLC
NPI 1295570034
Nurse Practitioner - Adult Health in Clarence, NY

Active since June 25, 2024
9097 MAIN ST, CLARENCE, NY 14031(716) 759-4938(716) 759-4939 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Jun 25, 2024 (2 updates tracked since 2024).

About Kmc Nurse Practitioner In Adult Health Pllc NPPES

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

KMC NURSE PRACTITIONER IN ADULT HEALTH PLLC (NPI 1295570034) is a healthcare organization registered as an adult health in Clarence, New York and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Niagara Falls and lists Kym Cannizzaro, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1295570034
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameKMC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Location Address9097 MAIN STClarence, NY 14031-1965
Mailing Address9097 Main StClarence, NY 14031-1965 · (716) 759-4938 · Fax (716) 759-4939
Phone(716) 759-4938
Fax(716) 759-4939
Organization SubpartNo
Authorized OfficialKym CannizzaroOwner/np · (716) 759-4938
Enumeration DateJune 25, 2024
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1295570034 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
9097 MAIN ST, Clarence, NY 14031
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Secondary Practice Location 1

Location 110175 Niagara Falls Blvd Ste 1Niagara Falls, NY 14304-2941 · Phone (716) 759-4938 · Fax (716) 759-4939

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Kmc Nurse Practitioner In Adult Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kmc Nurse Practitioner In Adult Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kym Cannizzaro, NP
Nurse Practitioner
NPI 1861912206
9097 MAIN ST
Clarence, NY 14031
(716) 759-4938
✔ PECOS✔ Accepts MedicareSame address

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 Kmc Nurse Practitioner In Adult Health PLLC's NPI number?

The NPI number for Kmc Nurse Practitioner In Adult Health PLLC is 1295570034. It was assigned to this organization in the NPPES registry on June 25, 2024.

Where is Kmc Nurse Practitioner In Adult Health PLLC located?

Kmc Nurse Practitioner In Adult Health PLLC is located at 9097 Main St, Clarence, NY 14031. The listed phone number is (716) 759-4938.

What is Kmc Nurse Practitioner In Adult Health PLLC's specialty?

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

Is Kmc Nurse Practitioner In Adult Health PLLC enrolled in Medicare?

Yes. Kmc Nurse Practitioner In Adult Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kmc Nurse Practitioner In Adult Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kmc Nurse Practitioner In Adult Health PLLC. 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 Kmc Nurse Practitioner In Adult Health PLLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.