NICOLE L MOMBREA RN,BSN,MSN,FNP-C
NPI 1720733231
Nurse Practitioner - Family in Buffalo, NY

Q: What is Nicole Mombrea's NPI number?

The NPI number for Nicole Mombrea is 1720733231. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Q: What is Nicole Mombrea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mombrea was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 14, 2022PECOS EnrolledAccepts Medicare Assignment

701 SENECA ST STE 646C, BUFFALO, NY 14210(716) 995-4450 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nicole L Mombrea Rn,bsn,msn,fnp-c NPPES

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

NICOLE L MOMBREA RN,BSN,MSN,FNP-C (NPI 1720733231) is an individual family provider in Buffalo, New York, licensed in New York (F349051-01) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Niagara Falls Memorial Medical Center, and maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1720733231

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE L MOMBREACredential: RN,BSN,MSN,FNP-C

Location Address701 SENECA ST STE 646CBuffalo, NY 14210-1351

Mailing Address701 Seneca St Ste 646cBuffalo, NY 14210-1351 · (716) 995-4450

Phone(716) 995-4450

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 14, 2022

Last NPPES UpdateApril 1, 2022

NPPES CertifiedApril 1, 2022

✔ NPI 1720733231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F349051-01

701 SENECA ST STE 646C, Buffalo, NY 14210

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Secondary Practice Location 1

Location 1330 Brookshire RdYoungstown, NY 14174-1159 · Phone (716) 930-7665

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

Nicole L Mombrea Rn,bsn,msn,fnp-c 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 ID3274929773

PECOS Enrollment IDI20220411000567

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 2

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

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330065

Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County

Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14210 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.

BETH LYN VACCARELLI ANP

Nurse Practitioner (Adult Health)