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MRS. NICOLE M KUTCHENRIDER PA-C
NPI 1164816682
Physician Assistant - Medical in Plainview, NY

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
1181 OLD COUNTRY RD, STE 3, PLAINVIEW, NY 11803(516) 931-2320(516) 931-5734 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nicole M Kutchenrider Pa-c NPPES

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

MRS. NICOLE M KUTCHENRIDER PA-C (NPI 1164816682) is an individual medical provider in Plainview, New York, licensed in New York (017096) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164816682
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. NICOLE M KUTCHENRIDERCredential: PA-C
Location Address1181 OLD COUNTRY RD, STE 3Plainview, NY 11803-5018
Mailing Address1181 Old Country Rd, Ste 3Plainview, NY 11803-5018 · (516) 931-2320 · Fax (516) 931-5734
Phone(516) 931-2320
Fax(516) 931-5734
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 23, 2015
✔ NPI 1164816682 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 · 017096
1181 OLD COUNTRY RD, Plainview, NY 11803
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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

Mrs. Nicole M Kutchenrider 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 ID8123390499
PECOS Enrollment IDI20170822000043
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers17 claims37 services$5.71 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.

KENNETH DAVID MORRIS D.M.D
Dentist (Oral and Maxillofacial Surgery)
1181 OLD COUNTRY RD, SUITE 4
PLAINVIEW, NY 11803
Nassau County (516) 822-1880
DR. JEFFREY NEIL SCAVRON M.D.
Internal Medicine
1181 OLD COUNTRY RD, SUITE 3
PLAINVIEW, NY 11803
Nassau County (516) 931-2320
FAMILY DENTAL OF PLAINVIEW
Dentist
1181 OLD COUNTRY RD, SUITE 6
PLAINVIEW, NY 11803
Nassau County (516) 822-3090
DR. MARC SCHECHTER D.O.
Family Medicine
1181 OLD COUNTRY RD, SUITE 3
PLAINVIEW, NY 11803
Nassau County (516) 931-2320
TRACEY JANE ROSENBERG D.D.S. M.D.
Dentist (Oral and Maxillofacial Surgery)
1181 OLD COUNTRY RD, SUITE 4
PLAINVIEW, NY 11803
Nassau County (516) 822-7880
TURTEL, SHAPIRO, SCAVRON & BENDIT LLP
Internal Medicine
1181 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 931-2320
DAVID LEVI JURMAN D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
1181 OLD COUNTRY RD, SUITE 4
PLAINVIEW, NY 11803
Nassau County (516) 822-7880
RICHARD BERG D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1181 OLD COUNTRY RD, SUITE 4
PLAINVIEW, NY 11803
Nassau County (516) 822-7880

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 Kutchenrider's NPI number?

The NPI number for Nicole Kutchenrider is 1164816682. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Nicole Kutchenrider located?

Nicole Kutchenrider practices at 1181 Old Country Rd Ste 3, Plainview, NY 11803. The listed phone number is (516) 931-2320.

What is Nicole Kutchenrider's specialty?

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

Is Nicole Kutchenrider enrolled in Medicare?

Yes. Nicole Kutchenrider 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 Kutchenrider affiliated with any hospitals?

According to CMS data, Nicole Kutchenrider is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Kutchenrider was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.