NICOLE RENEE DRISCOLL PA-C
NPI 1104443985
Physician Assistant - Medical in Manhasset, NY

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment
300 COMMUNITY DR, MANHASSET, NY 11030(516) 526-8400 Get Directions Write a Review

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

Record update history: Mar 9, 2022, Aug 6, 2021, Mar 14, 2021 and 2 more (5 updates tracked since 2020).

About Nicole Renee Driscoll Pa-c NPPES

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

NICOLE RENEE DRISCOLL PA-C (NPI 1104443985) is an individual medical provider in Manhasset, New York, licensed in New York (025171) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104443985
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE RENEE DRISCOLLCredential: PA-C
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816 · (631) 838-5571
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 29, 2020
Last NPPES UpdateMarch 9, 20225 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
NPI 1104443985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 025171
300 COMMUNITY DR, Manhasset, NY 11030

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 Renee Driscoll Pa-c 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 ID1456769066
PECOS Enrollment IDI20220420002350
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

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$67.57 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$35.34 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$13.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030

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 Driscoll's NPI number?

The NPI number for Nicole Driscoll is 1104443985. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Nicole Driscoll located?

Nicole Driscoll practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 526-8400.

What is Nicole Driscoll's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Driscoll enrolled in Medicare?

Yes. Nicole Driscoll 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.

Is Nicole Driscoll affiliated with any hospitals?

According to CMS data, Nicole Driscoll is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Driscoll was last updated on March 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.