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NICOLE DEEGAN PA
NPI 1124990965
Physician Assistant in Newburgh, NY

Active since September 22, 2025PECOS EnrolledAccepts Medicare Assignment
70 DUBOIS ST, NEWBURGH, NY 12550(845) 561-4400 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Deegan Pa NPPES

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

NICOLE DEEGAN PA (NPI 1124990965) is an individual physician assistant in Newburgh, New York, licensed in New York (034751) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124990965
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE DEEGANCredential: PA
Location Address70 DUBOIS STNewburgh, NY 12550-4851
Mailing Address70 Dubois StNewburgh, NY 12550-4851 · (845) 561-4400
Phone(845) 561-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 22, 2025
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1124990965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034751
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
70 DUBOIS ST, Newburgh, NY 12550
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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 Deegan Pa 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 ID6103311394
PECOS Enrollment IDI20251224002558
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.

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

ST. LUKE'S CORNWALL HOSPITAL
General Acute Care Hospital
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
ST. LUKE'S CORNWALL HOSPITAL
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
JAMES BERSIG MD
Anesthesiology
70 DUBOIS ST, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 568-2269
HOSPITAL ATTENDING PHYSICIANS
Internal Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
DR. JARRETT SCOTT LEFBERG D.O.
Emergency Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
ROBERT BENTIVEGNA MD
Anesthesiology
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
DR. SINDHU SANDESH MD
Anesthesiology
70 DUBOIS ST, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400
SOYOUNG AHN MD
Student in an Organized Health Care Education/Training Program
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400

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 Deegan's NPI number?

The NPI number for Nicole Deegan is 1124990965. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Nicole Deegan located?

Nicole Deegan practices at 70 Dubois St, Newburgh, NY 12550. The listed phone number is (845) 561-4400.

What is Nicole Deegan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Deegan enrolled in Medicare?

Yes. Nicole Deegan 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 Deegan affiliated with any hospitals?

According to CMS data, Nicole Deegan is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Deegan was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.