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IRISI NIKOLLA NP
NPI 1184968430
Nurse Practitioner - Family in Staten Island, NY

Active since November 26, 2012PECOS Enrolled
129 SENECA ST, STATEN ISLAND, NY 10310(347) 216-7632 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Irisi Nikolla Np NPPES

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

IRISI NIKOLLA NP (NPI 1184968430) is an individual family provider in Staten Island, New York, licensed in New York (0000000) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184968430
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIRISI NIKOLLACredential: NP
Location Address129 SENECA STStaten Island, NY 10310-2333
Mailing Address533 Ovington AveBrooklyn, NY 11209-1701 · (347) 216-7632
Phone(347) 216-7632
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 26, 2012
Last NPPES UpdateSeptember 5, 2023
NPPES CertifiedJuly 1, 2022
✔ NPI 1184968430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 0000000
Also ListedRegistered NurseTaxonomy 163W00000X · License 664266 (NY)
129 SENECA ST, Staten Island, NY 10310
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Other Names 1

Former Name (1)Irisi Papapavllo-nikolla Rn

Secondary Practice Location 1

Location 11911 Bay Ridge Pkwy, Apt#2FBrooklyn, NY 11204-5719 · Phone (347) 216-7632 · Fax (718) 745-2414

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irisi Nikolla Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335680198
PECOS Enrollment IDI20260706002497
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Irisi Nikolla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pair Team Medical Group Of California PC
2,566 mi
Family Medicine
95 3RD ST STE 293
San Francisco, CA 94103
  • Reassigned Medicare billing, California and Florida enrollments
  • 28 clinicians in this Medicare group
NPI 1134838352 (707) 207-6571
Pair Team Medical Group, P.A.
2,566 mi
Family Medicine
95 3RD ST STE 293
San Francisco, CA 94103
  • Reassigned Medicare billing, California and Florida enrollments
  • Medicare enrollment name: Pair Team Medical Group PA
  • 28 clinicians in this Medicare group
NPI 1659132553 (707) 207-6571

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10310 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Irisi Nikolla's NPI number?

The NPI number for Irisi Nikolla is 1184968430. It was assigned to this individual provider in the NPPES registry on November 26, 2012. The provider is also known as Irisi Papapavllo-Nikolla Rn.

Where is Irisi Nikolla located?

Irisi Nikolla practices at 129 Seneca St, Staten Island, NY 10310. The listed phone number is (347) 216-7632.

What is Irisi Nikolla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Irisi Nikolla enrolled in Medicare?

Yes. Irisi Nikolla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Irisi Nikolla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irisi Nikolla reassigns Medicare benefits to 2 organizations: Pair Team Medical Group Of California PC (San Francisco, CA) and Pair Team Medical Group, P.A. (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Irisi Nikolla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Irisi Nikolla was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.