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

MS. Bobbie A. Newsome, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1922791326

MS. Bobbie A. Newsome, NURSEPRACTITIONER is a Nurse Practitioner in Buffalo, New York. Qualified in 2023, 3 years ago. Practices with Fresh Meadows Physician Practice PLLC, a 33-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

107 Montrose Ave
Buffalo, NY 14214-1248
Phone: (716) 474-3517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 675038 (NY)

Record details

NPI number1922791326
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 31, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fresh Meadows Physician Practice Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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