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LISA A DURANDETTO NP
NPI 1366408775
Nurse Practitioner - Adult Health in Williamsville, NY

Active since April 25, 2006PECOS Enrolled
325 ESSJAY RD, WILLIAMSVILLE, NY 14221(716) 630-1146(716) 817-1727 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa A Durandetto Np NPPES

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

LISA A DURANDETTO NP (NPI 1366408775) is an individual adult health provider in Williamsville, New York, licensed in New York (F304142) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366408775
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLISA A DURANDETTOCredential: NP
Location Address325 ESSJAY RDWilliamsville, NY 14221-8243
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219 · Fax (716) 817-1726
Phone(716) 630-1146
Fax(716) 817-1727
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateFebruary 14, 2020
✔ NPI 1366408775 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 · F304142
325 ESSJAY RD, Williamsville, NY 14221
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa A Durandetto Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Lisa Durandetto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Buffalo Medical Group, P.C.
Same address
Family Medicine
325 ESSJAY RD, 4TH FLOOR ADMIN
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 344 clinicians in this Medicare group
NPI 1881659506 (716) 630-2500
General Physician, PC
46 mi
General Practice
3898 VINEYARD DR
Dunkirk, NY 14048
  • Reassigned Medicare billing, New York enrollment
  • 572 clinicians in this Medicare group
NPI 1093959322 (716) 692-3302

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

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 20

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

MARIA KONTOS DO
Internal Medicine
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Erie County (716) 656-4463
ANTHONY J RICOTTA JR. D.P.T.
Physical Therapist
325 ESSJAY RD, SUITE 305
WILLIAMSVILLE, NY 14221
Erie County (716) 631-3555
DR. LORI E. ULLMAN M.D.
Dermatology
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Erie County (716) 630-1136
DR. SUKHWINDER SINGH KODIAL M.D.
Family Medicine (Adult Medicine)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Erie County (716) 630-1143
MARIA RUTH REGER PA
Physician Assistant (Medical)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Erie County (716) 631-3839
MANJU ALEX MD
Internal Medicine (Nephrology)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Erie County (716) 630-1138
MS. REEMA W BAWAB RPA-C
Physician Assistant
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Erie County (716) 630-1146
NANCY KAWECKI
Nurse Practitioner (Family)
325 ESSJAY RD
WILLIAMSVILLE, NY 14221
Erie County (716) 857-8607

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 Lisa Durandetto's NPI number?

The NPI number for Lisa Durandetto is 1366408775. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Lisa Durandetto located?

Lisa Durandetto practices at 325 Essjay Rd, Williamsville, NY 14221. The listed phone number is (716) 630-1146.

What is Lisa Durandetto's specialty?

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

Is Lisa Durandetto enrolled in Medicare?

Yes. Lisa Durandetto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Durandetto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Durandetto reassigns Medicare benefits to 2 organizations: Buffalo Medical Group, P.C. (Williamsville, NY) and General Physician, PC (Dunkirk, NY). Each 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 Lisa Durandetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Durandetto was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.