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

Brenda Lis

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1467908244

Brenda Lis is a Nurse Practitioner in Buffalo, New York. Qualified in 2020, 6 years ago. Practices with Tanvir Shagar NP in Family Health PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

69 Delaware Ave Ste 1200
Buffalo, NY 14202
Phone: (716) 852-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403392 (NY)
Occupational Health Registered Nurse Taxonomy 163WX0106X · Licence 412294-1 (NY)

Record details

NPI number1467908244
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address4373 Clinton Street, West Seneca, NY 14224

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tanvir Shagar Np In Family Health Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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