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NICOLE DENNIS MD
NPI 1083175475
Radiology - Diagnostic Radiology in Utica, NY

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
111 HOSPITAL DR, UTICA, NY 13502(315) 917-9966(315) 234-3998 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Jun 25, 2024, Aug 13, 2023 and 2 more (5 updates tracked since 2019).

About Nicole Dennis Md NPPES

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

NICOLE DENNIS MD (NPI 1083175475) is an individual diagnostic radiology provider in Utica, New York, licensed in New York (338426) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083175475
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameNICOLE DENNISCredential: MD
Location Address111 HOSPITAL DRUtica, NY 13502-2517
Mailing Address111 Hospital DrUtica, NY 13502-2517 · (315) 801-8534
Phone(315) 917-9966
Fax(315) 234-3998
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateAugust 14, 20255 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1083175475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NY · 338426✔ Licensed in CA · A176854
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL.0007572 (CO), 0116038848 (VA)
111 HOSPITAL DR, Utica, NY 13502
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11200 N State StLos Angeles, CA 90089-1001 · Phone (323) 409-7242
Location 21215 Lee St., Box 800377Charlottesville, VA 22908-0816 · Phone (434) 924-9400 · Fax (434) 243-6731
Location 31960 N Ogden St Ste 400Denver, CO 80218-3670 · Phone (303) 318-1540

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Dennis Md 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 ID7315277019
PECOS Enrollment IDI20250822001188
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 Dennis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mvhs Inc
Same address
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
NPI 1770690737 (315) 917-9966
Radiology Associates Of New Hartford LLP
2.1 mi
Diagnostic Radiology
1656 CHAMPLIN AVENUE, FAXTON ST LUKES HEALTHCARE
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1356387294 (315) 624-6116
Cmi Professional Services
2.5 mi
Magnetic Resonance Imaging (MRI)
107 BUSINESS PARK DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 23 clinicians in this Medicare group
NPI 1790701167 (315) 792-4666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

MISS JENNA YAGER FNP
Nurse Practitioner (Family)
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
PUJA SENGUPTA MD
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
DR. IBRAHIM SHAWKI ELKILANY MD
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
MOLLY TAFT PA-C
Physician Assistant (Medical)
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
ROBERT TALAY MD
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
INFECTIOUS DISEASE ASSOCIATES LLP
Internal Medicine (Infectious Disease)
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 624-6000
BENJAMIN VANDERPOOL PA-C
Physician Assistant
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966
WARREN LAM MD
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Oneida County (315) 917-9966

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 Dennis's NPI number?

The NPI number for Nicole Dennis is 1083175475. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Nicole Dennis located?

Nicole Dennis practices at 111 Hospital Dr, Utica, NY 13502. The listed phone number is (315) 917-9966.

What is Nicole Dennis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicole Dennis enrolled in Medicare?

Yes. Nicole Dennis 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.

Which organizations bill Medicare for Nicole Dennis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dennis reassigns Medicare benefits to 3 organizations: Mvhs Inc (Utica, NY), Radiology Associates Of New Hartford LLP (Utica, NY) and Cmi Professional Services (Utica, 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 Dennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Dennis affiliated with any hospitals?

According to CMS data, Nicole Dennis is affiliated with Wynn Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Nicole Dennis was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.