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NICOLE MARIE BRUBAKER FNP-C
NPI 1003267345
Nurse Practitioner - Family in Sandy Creek, NY

Active since June 28, 2016PECOS Enrolled
124 SALISBURY ST, SANDY CREEK, NY 13145(315) 387-3620 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Apr 10, 2020, Apr 16, 2019 and 1 more (4 updates tracked since 2016).

About Nicole Marie Brubaker Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE BRUBAKER FNP-C (NPI 1003267345) is an individual family provider in Sandy Creek, New York, licensed in New York (33 340733) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pulaski.

NPPES Registry Identity

NPI1003267345
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE BRUBAKERCredential: FNP-C
Location Address124 SALISBURY STSandy Creek, NY 13145-7706
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6564 · Fax (315) 298-3968
Phone(315) 387-3620
Sole ProprietorNo
Enumeration DateJune 28, 2016
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1003267345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 33 340733
124 SALISBURY ST, Sandy Creek, NY 13145
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Secondary Practice Location 1

Location 161 Delano StPulaski, NY 13142-1400 · Phone (315) 298-6564 · Fax (315) 298-3968

Other Identifiers 1

Medicaid04550890NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Brubaker Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%32 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA ROSE BLOUNT RN
Registered Nurse (School)
124 SALISBURY ST
SANDY CREEK, NY 13145
Oswego County (315) 387-3445
KAREN MILLETT-LAMBIE M.A.,CCC-SLP
Speech-Language Pathologist
124 SALISBURY ST
SANDY CREEK, NY 13145
Oswego County (315) 387-3445
LAURIE CRAST RN
Registered Nurse (School)
124 SALISBURY ST
SANDY CREEK, NY 13145
Oswego County (315) 387-3445
MRS. SAMANTHA MARIE KEESEY RN
Registered Nurse (School)
124 SALISBURY ST
SANDY CREEK, NY 13145
Oswego County (315) 387-3445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Brubaker's NPI number?

The NPI number for Nicole Brubaker is 1003267345. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Nicole Brubaker located?

Nicole Brubaker practices at 124 Salisbury St, Sandy Creek, NY 13145. The listed phone number is (315) 387-3620.

What is Nicole Brubaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Brubaker enrolled in Medicare?

Yes. Nicole Brubaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Brubaker was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.