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

Traci L McMullen

Individual provider Family Nurse Practitioner · NPI 1619643582

Traci L McMullen is a Nurse Practitioner in Buffalo, New York. Qualified in 2021, 5 years ago. Practices with Kaleida Health, a 214-clinician group, accepts Medicare assignment and offers telehealth. 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

900 Hertel Ave
Buffalo, NY 14216-2611
Phone: (716) 871-1571
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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 F347789-01 (NY)

Record details

NPI number1619643582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address24 Thomaston Ln, Orchard Park, NY 14127-2526

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 Kaleida Health — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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