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KYM M CANNIZZARO NP
NPI 1861912206
Nurse Practitioner - Adult Health in Clarence, NY

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
85.47/100
CMS Quality Rating
9097 MAIN ST, CLARENCE, NY 14031(716) 759-4938(716) 759-4938 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2024, Dec 20, 2022, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Kym M Cannizzaro Np NPPES

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

KYM M CANNIZZARO NP (NPI 1861912206) is an individual adult health provider in Clarence, New York, licensed in New York (308214) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Niagara Falls, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861912206
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKYM M CANNIZZAROCredential: NP
Location Address9097 MAIN STClarence, NY 14031-1965
Mailing Address9097 Main StClarence, NY 14031-1965 · (716) 759-4938 · Fax (716) 759-4939
Phone(716) 759-4938
Fax(716) 759-4938
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 27, 2017
Last NPPES UpdateJune 25, 20245 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1861912206 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 · 308214
9097 MAIN ST, Clarence, NY 14031
Open in Google Maps ↗

Secondary Practice Location 1

Location 110175 Niagara Falls Blvd Ste 1Niagara Falls, NY 14304-2941 · Phone (716) 759-4938 · Fax (716) 759-4939

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kym M Cannizzaro Np 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 ID7315283678
PECOS Enrollment IDI20190108002969
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 Kym Cannizzaro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kmc Nurse Practitioner In Adult Health PLLC
Same address
Adult Health
9097 MAIN ST
Clarence, NY 14031
  • Reassigned Medicare billing, New York enrollment
NPI 1295570034 (716) 759-4938

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14031 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability52
Improvement Activities40
Cost99.99

Other Providers at the Same Location NPPES 4

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

KMC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Nurse Practitioner (Adult Health)
9097 MAIN ST
CLARENCE, NY 14031
Erie County (716) 759-4938
MRS. MELISSA ANNE VERDI MS, RDN, CDN, CDCES
Dietitian, Registered
9097 MAIN ST
CLARENCE, NY 14031
Erie County (716) 222-0297
PATRICK HELPER
Health and Wellness Coach
9097 MAIN ST
CLARENCE, NY 14031
Erie County (716) 261-1474
DR. BENJAMIN SEGERSON DO
Internal Medicine
9097 MAIN ST
CLARENCE, NY 14031
Erie County (716) 205-0175

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 Kym Cannizzaro's NPI number?

The NPI number for Kym Cannizzaro is 1861912206. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Kym Cannizzaro located?

Kym Cannizzaro practices at 9097 Main St, Clarence, NY 14031. The listed phone number is (716) 759-4938.

What is Kym Cannizzaro's specialty?

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

Is Kym Cannizzaro enrolled in Medicare?

Yes. Kym Cannizzaro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kym Cannizzaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kym Cannizzaro reassigns Medicare benefits to Kmc Nurse Practitioner In Adult Health PLLC (Clarence, 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 Kym Cannizzaro'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 Kym Cannizzaro was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.