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DR. NICOLE KULISEK MD
NPI 1043374986
Pediatrics - Pediatric Gastroenterology in Collegeville, PA

Active since December 21, 2006PECOS Enrolled
500 ARCOLA RD, COLLEGEVILLE, PA 19426(646) 942-6148 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 17, 2019, Nov 28, 2017 (2 updates tracked since 2017).

About Dr. Nicole Kulisek Md NPPES

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

DR. NICOLE KULISEK MD (NPI 1043374986) is an individual pediatric gastroenterology provider in Collegeville, Pennsylvania, licensed in New York (248629) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043374986
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. NICOLE KULISEKCredential: MD
Location Address500 ARCOLA RDCollegeville, PA 19426-3982
Mailing Address3000 Valley Forge Cir Apt 1543King Of Prussia, PA 19406-1150 · (617) 251-4803
Phone(646) 942-6148
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration
✔ NPI 1043374986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NY · 248629
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 249629 (NY)
500 ARCOLA RD, Collegeville, PA 19426
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Other Names 1

Former Name (1)Dr. Nicole Jordan M.d.

Other Identifiers 1

Medicaid03437845NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Kulisek Md 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 Reassignments

3

Medicare enrollment records show Nicole Kulisek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tjh Medical Services, P.C.
95 mi
Internal Medicine
8906 135TH ST
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Tjh Medical Services PC
  • 497 clinicians in this Medicare group
NPI 1184670465 (718) 206-6742
Jamaica Hospital
95 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918
Flushing Hospital & Medical Center
96 mi
General Acute Care Hospital
4500 PARSONS BLVD
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 327 clinicians in this Medicare group
NPI 1548217763 (718) 670-6000

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 19426 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

DANIEL JAMES SPITZ
Pharmacist
500 ARCOLA RD
COLLEGEVILLE, PA 19426
Montgomery County (484) 865-5000
DR. MICHAEL LOUIS MURRAY D.O., MSC.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
500 ARCOLA RD, E 3
COLLEGEVILLE, PA 19426
Montgomery County (484) 865-7343
DR. BRUCE DAVID BEHOUNEK MD
Internal Medicine
500 ARCOLA RD, F3208
COLLEGEVILLE, PA 19426
Montgomery County (484) 865-8842

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 Kulisek's NPI number?

The NPI number for Nicole Kulisek is 1043374986. It was assigned to this individual provider in the NPPES registry on December 21, 2006. The provider is also known as Dr. Nicole Jordan M.D..

Where is Nicole Kulisek located?

Nicole Kulisek practices at 500 Arcola Rd, Collegeville, PA 19426. The listed phone number is (646) 942-6148.

What is Nicole Kulisek's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Nicole Kulisek enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Kulisek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kulisek reassigns Medicare benefits to 3 organizations: Tjh Medical Services, P.C. (Jamaica, NY), Jamaica Hospital (Jamaica, NY) and Flushing Hospital & Medical Center (Flushing, NY). Each 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 Kulisek'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 Kulisek was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.