Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INTEGRATIVE NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1639985435
Nurse Practitioner - Psychiatric/Mental Health in Lancaster, NY

Active since December 06, 2024
5775 BROADWAY ST, LANCASTER, NY 14086(716) 544-8848(888) 612-0831 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Integrative Nurse Practitioner In Psychiatry Pllc NPPES

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

INTEGRATIVE NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1639985435) is a healthcare organization registered as a psychiatric/mental health in Lancaster, New York and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Lancaster and lists Nichole Marie Mcleod, Owner, as its authorized official.

NPPES Registry Identity

NPI1639985435
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINTEGRATIVE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Location Address5775 BROADWAY STLancaster, NY 14086-2456
Mailing Address81 Dartwood DrCheektowaga, NY 14227-3121 · (716) 578-5788
Fax(888) 612-0831
Organization SubpartNo
Authorized OfficialNichole Marie McleodOwner · (716) 578-5788
Enumeration DateDecember 6, 2024
Last NPPES UpdateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1639985435 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
5775 BROADWAY ST, Lancaster, NY 14086

Secondary Practice Location 1

Location 143 Central AveLancaster, NY 14086-2151 · Phone (716) 544-8848

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Integrative Nurse Practitioner In Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1871311621
5775 BROADWAY ST
Lancaster, NY 14086
(716) 544-8848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730858721
5775 BROADWAY ST
Lancaster, NY 14086
(716) 544-8848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952052656
5775 BROADWAY ST
Lancaster, NY 14086
(716) 544-8848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639955925
PO BOX 15
West Seneca, NY 14224
(716) 541-7444
✔ PECOS6.6 mi
Nurse Practitioner
NPI 1285228544
67 UNION ST STE 106
Natick, MA 01760
(781) 666-2711
✔ PECOS✔ Accepts Medicare375 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 Integrative Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Integrative Nurse Practitioner In Psychiatry PLLC is 1639985435. It was assigned to this organization in the NPPES registry on December 6, 2024.

Where is Integrative Nurse Practitioner In Psychiatry PLLC located?

Integrative Nurse Practitioner In Psychiatry PLLC is located at 5775 Broadway St, Lancaster, NY 14086. The listed phone number is (716) 544-8848.

What is Integrative Nurse Practitioner In Psychiatry PLLC's specialty?

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

Is Integrative Nurse Practitioner In Psychiatry PLLC enrolled in Medicare?

Yes. Integrative Nurse Practitioner In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Nurse Practitioner In Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Integrative Nurse Practitioner In Psychiatry 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrative Nurse Practitioner In Psychiatry PLLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.