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

Q: 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.

Q: What is Kirsten Nutty's specialty?

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

Q: 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 16 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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