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NIKOLAS PETESIC N.P.
NPI 1033512793
Nurse Practitioner - Family in Bronx, NY

Active since October 08, 2014PECOS Enrolled
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-5875 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nikolas Petesic N.p. NPPES

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

NIKOLAS PETESIC N.P. (NPI 1033512793) is an individual family provider in Bronx, New York, licensed in New York (339211) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033512793
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNIKOLAS PETESICCredential: N.P.
Location Address1400 PELHAM PKWY SBronx, NY 10461-1138
Mailing Address1400 Pelham Pkwy S, Hyperbaric ChamberBronx, NY 10461-1138
Phone(718) 918-5875
Sole ProprietorNo
Enumeration DateOctober 8, 2014
✔ NPI 1033512793 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 · 339211
1400 PELHAM PKWY S, Bronx, NY 10461
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikolas Petesic N.p. 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.

Medicare Billing Reassignment

Medicare enrollment records show Nikolas Petesic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
2.5 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 20

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

CAROLYN COLE
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5820
RYAN JOHNY PHARM. D
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-4557
DR. SARAH G JAMISON MD
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
SWETHA PEDAVALLY M.D
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Bronx County (718) 918-7460
MS. ODESSA FYNN CM
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Bronx County (718) 918-3060
DR. PATRICK SPENCER EIBEN M.D.
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
DR. ADAM JOSEPH GERSHON MD
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000
EDIRICARDO RODRIGUEZ ORTIZ MD
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000

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 Nikolas Petesic's NPI number?

The NPI number for Nikolas Petesic is 1033512793. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Nikolas Petesic located?

Nikolas Petesic practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5875.

What is Nikolas Petesic's specialty?

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

Is Nikolas Petesic enrolled in Medicare?

Yes. Nikolas Petesic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nikolas Petesic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikolas Petesic reassigns Medicare benefits to Montefiore Medical Center (Bronx, 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 Nikolas Petesic'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 Nikolas Petesic was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.