Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ali Nicole Pensero, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1265719652

Ali Nicole Pensero, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Buffalo, New York. Graduated from State Un of Ny, Buffalo School of Dental Medicine in 2011, 15 years ago. Practices with Great Lakes Anesthesiology PC, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
State Un of Ny, Buffalo School of Dental Medicine
Licensed in
NY
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1001 Main St Ste K3502
Buffalo, NY 14203-1009
Phone: (716) 323-6570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 S Cayuga Rd, Williamsville, NY 14221-6728 — (716) 632-1088

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 562532 (NY)

Record details

NPI number1265719652
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 14, 2011
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolSTATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
Graduated 2011 (15 years in practice)
Group practice Great Lakes Anesthesiology Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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