NICOLE BIFULCO
NPI 1053776476
Physician Assistant - Surgical in Brooklyn, NY

Active since December 30, 2015PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
150 55TH ST, BROOKLYN, NY 11220(718) 630-7893 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Dec 30, 2015 (2 updates tracked since 2015).

About Nicole Bifulco NPPES

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

NICOLE BIFULCO (NPI 1053776476) is an individual surgical provider in Brooklyn, New York and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jamaica, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053776476
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE BIFULCO
Location Address150 55TH STBrooklyn, NY 11220-2508
Mailing Address15839 81st StHoward Beach, NY 11414-2920 · (917) 578-7105
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 30, 2015
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
NPI 1053776476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
150 55TH ST, Brooklyn, NY 11220

Secondary Practice Location 1

Location 18268 164th StJamaica, NY 11432-1121 · Phone (718) 883-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Bifulco is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173919412
PECOS Enrollment IDI20220413001102
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 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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Psychiatry & Neurology (Psychiatry)
150 55TH ST
BROOKLYN, NY 11220
Pharmacist (Oncology)
150 55TH ST
BROOKLYN, NY 11220
Nurse Practitioner (Primary Care)
150 55TH ST
BROOKLYN, NY 11220
Physician Assistant
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Hospitalist
150 55TH ST
BROOKLYN, NY 11220

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 Bifulco's NPI number?

The NPI number for Nicole Bifulco is 1053776476. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Nicole Bifulco located?

Nicole Bifulco practices at 150 55th St, Brooklyn, NY 11220. The listed phone number is (718) 630-7893.

What is Nicole Bifulco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Bifulco enrolled in Medicare?

Yes. Nicole Bifulco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Bifulco was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.