Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erica Rae Bastian, PA-C

Individual provider Physician Assistant · NPI 1053860809

Erica Rae Bastian, PA-C is a Physician Assistant in Williamsville, New York. Qualified in 2016, 10 years ago. Practices with Kenmore Mercy Hospital, a 54-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3900 N Buffalo St
Williamsville, NY 14221
Phone: (716) 656-4852
Fax: (716) 817-1779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 565 Abbott Rd, Buffalo, NY 14220-2039 — (716) 826-7000
  • 565 Abbott Rd, Buffalo, NY 14220-2039 — (716) 826-7000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence 23 019956 (NY)

Record details

NPI number1053860809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2016
Last updated in NPPESAugust 23, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kenmore Mercy Hospital — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Williamsville