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

Nicole Ashley Wagner

Individual provider Family Nurse Practitioner · NPI 1780340356

Nicole Ashley Wagner is a Nurse Practitioner in Williamsville, New York. Qualified in 2021, 5 years ago. Practices with Sisters of Charity Hospital of Buffalo New York, a 161-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

1540 Maple Rd
Williamsville, NY 14221-3647
Phone: (716) 568-3600
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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 347941 (NY)

Record details

NPI number1780340356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sisters Of Charity Hospital Of Buffalo New York — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Williamsville