MS. KELLY MARIE RAUSCH PNP NPI 1982703674

NPI Information

NPI: 1982703674
Provider Name: MS. KELLY MARIE RAUSCH, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1021 BROADWAY ST
BUFFALO, NY
ZIP 14212
Phone: (716) 852-1578
Get Directions

MS. Kelly Marie Rausch, PNP is a pediatrics nurse practitioner in Buffalo, NY. MS. Kelly Marie Rausch, PNP NPI is 1982703674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1021 BROADWAY ST
BUFFALO, NY
ZIP 14212-460
Phone: (716) 852-1578
Fax: (716) 852-5154

The NPI 1982703674 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 1/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		441200	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	F381753	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000560953001	OTHER	NEW YORK	BC/BS
2	050816000026	OTHER	NEW YORK	FIDELIS
3	00027206901	OTHER	NEW YORK	UNIVERA
4	02665525	MEDICAID	NEW YORK
5	9512852	OTHER	NEW YORK	IHA
6	080407000087	OTHER	NEW YORK	FIDELIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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