NICOLE MARIE BRUBAKER FNP-C
NPI 1003267345
Nurse Practitioner - Family in Sandy Creek, NY
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Marie Brubaker Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Brubaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pulaski, NY 13142
- Reassigned Medicare billing, New York enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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
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.
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.
Which organization bills Medicare for Nicole Brubaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Brubaker reassigns Medicare benefits to Northern Oswego County Health Services, Inc. (Pulaski, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Brubaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 16 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.
# Nicole Marie Brubaker, FNP-C · NPI 1003267345
Family physician in Sandy Creek, New York. Individual provider, active in the CMS NPPES registry since June 28, 2016.
## Identity
- **NPI:** 1003267345 (Entity type: Individual)
- **Enumerated:** June 28, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 33 340733 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 124 SALISBURY ST, Sandy Creek, NY 13145-7706
- **Phone:** (315) 387-3620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northern Oswego County Health Services, Inc. (NPI 1508850280, Pulaski, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2025
- **Other identifiers:** Medicaid 04550890 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1003267345) · Data from the CMS NPPES public registry.