NICOLE ELISE TSCHIDERER
NPI 1164128013
Physician Assistant in Saint Bonaventure, NY

Q: What is Nicole Tschiderer's NPI number?

The NPI number for Nicole Tschiderer is 1164128013. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Q: What is Nicole Tschiderer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Tschiderer was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 February 02, 2023PECOS EnrolledAccepts Medicare Assignment

3261 W STATE RD, SAINT BONAVENTURE, NY 14778(716) 375-2000 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Feb 2, 2023 (2 updates tracked since 2023).

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About Nicole Elise Tschiderer NPPES

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

NICOLE ELISE TSCHIDERER (NPI 1164128013) is an individual physician assistant in Saint Bonaventure, New York, licensed in New York (032282-01) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164128013

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE ELISE TSCHIDERER

Location Address3261 W STATE RDSaint Bonaventure, NY 14778-9800

Mailing Address3261 W State RdSaint Bonaventure, NY 14778-9800

Phone(716) 375-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 2, 2023

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1164128013 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 · 032282-01

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.

3261 W STATE RD, Saint Bonaventure, NY 14778

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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 Elise Tschiderer 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 ID9234670639

PECOS Enrollment IDI20240925003836

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 4

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330074

Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County

Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330151

Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County

Emergency services

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14778 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.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATT SMITH LAT, ATC

Specialist/Technologist (Athletic Trainer)