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KIRSTEN ANN THIBODEAU NUTTY LNP
NPI 1861706335
Nurse Practitioner - Pediatrics in Buffalo, NY

Active since July 27, 2010PECOS Enrolled
1001 MAIN ST FL 4, BUFFALO, NY 14203(716) 323-0110(716) 323-0296 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2025, Jan 13, 2021 (2 updates tracked since 2021).

About Kirsten Ann Thibodeau Nutty Lnp NPPES

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

KIRSTEN ANN THIBODEAU NUTTY LNP (NPI 1861706335) is an individual pediatrics provider in Buffalo, New York, licensed in New York (382142) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861706335
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKIRSTEN ANN THIBODEAU NUTTYCredential: LNP
Location Address1001 MAIN ST FL 4Buffalo, NY 14203-1009
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0225 · Fax (716) 323-0293
Phone(716) 323-0110
Fax(716) 323-0296
Sole ProprietorNo
Enumeration DateJuly 27, 2010
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1861706335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 382142
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 382142 (NY)
1001 MAIN ST FL 4, Buffalo, NY 14203
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Other Identifiers 1

Medicaid03351782NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirsten Ann Thibodeau Nutty Lnp 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 Reassignment

Medicare enrollment records show Kirsten Nutty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University At Buffalo Pediatric Associates Inc
Same address
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 clinicians in this Medicare group
NPI 1912928599 (716) 323-0225

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 14203 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.

DR. MONA BONANNO M.D.
Pediatrics
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0260
MELISSA ANNE AZAULA MD
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0034
DANIELLE MARIE GOETZ MD
Pediatrics (Pediatric Pulmonology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0110
MS. XIAOYAN WU MD
Pediatrics (Pediatric Nephrology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0140
DR. XILEI XU CHEN M.D.
Pediatrics (Pediatric Pulmonology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0260
MARY BADAME
Doula
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 668-1188
DR. OSAMA FAROUQ ALMADHOUN M.D
Pediatrics (Pediatric Gastroenterology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0080
ALBERTO F. MONEGRO M.D.
Internal Medicine (Pulmonary Disease)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0110

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 Kirsten Nutty's NPI number?

The NPI number for Kirsten Nutty is 1861706335. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Kirsten Nutty located?

Kirsten Nutty practices at 1001 Main St Fl 4, Buffalo, NY 14203. The listed phone number is (716) 323-0110.

What is Kirsten Nutty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kirsten Nutty enrolled in Medicare?

Yes. Kirsten Nutty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kirsten Nutty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirsten Nutty reassigns Medicare benefits to University At Buffalo Pediatric Associates Inc (Buffalo, NY). The 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 Kirsten Nutty'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 Kirsten Nutty was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.