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

Q: 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.

Q: What is Nicole Dennis's specialty?

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

Q: 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 11 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)