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

Individual provider Family Nurse Practitioner · NPI 1639067663

Brittany Ann Wahl, FNP is a Nurse Practitioner in Buffalo, New York. Qualified in 2025, 1 year ago. Practices with Jericho Road Ministries, Inc, a 33-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1021 Broadway St Fl 3
Buffalo, NY 14212-1460
Phone: (716) 881-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 357147 (NY)

Record details

NPI number1639067663
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Jericho Road Ministries, Inc. — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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