DR. NICHOLAS C PROSSER D.C
NPI 1205173002
Chiropractor in Fairport, NY
About Dr. Nicholas C Prosser D.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS C PROSSER D.C (NPI 1205173002) is an individual chiropractor in Fairport, New York, licensed in Massachusetts (3408) and active in the NPI registry since January 2013. He is a graduate of New York Chiropractic College (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nicholas C Prosser D.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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Prosser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairport, NY 14450
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRPORT, NY 14450
FAIRPORT, NY 14450
FAIRPORT, NY 14450
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 Nicholas Prosser's NPI number?
The NPI number for Nicholas Prosser is 1205173002. It was assigned to this individual provider in the NPPES registry on January 14, 2013.
Where is Nicholas Prosser located?
Nicholas Prosser practices at 6605 Pittsford Palmyra Rd, Fairport, NY 14450. The listed phone number is (585) 278-8351.
What is Nicholas Prosser's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Nicholas Prosser enrolled in Medicare?
Yes. Nicholas Prosser 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.
Which organization bills Medicare for Nicholas Prosser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Prosser reassigns Medicare benefits to Proactive Chiropractic And Wellness PLLC (Fairport, NY). The 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 Nicholas Prosser'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 Nicholas Prosser was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Nicholas C Prosser, D.C · NPI 1205173002
Chiropractor provider in Fairport, New York. Individual provider, active in the CMS NPPES registry since January 14, 2013.
## Identity
- **NPI:** 1205173002 (Entity type: Individual)
- **Enumerated:** January 14, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 3408 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6605 PITTSFORD PALMYRA RD, Fairport, NY 14450
- **Phone:** (585) 278-8351 · **Fax:** (585) 223-1582
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Proactive Chiropractic And Wellness PLLC (NPI 1215334057, Fairport, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Chiropractic College, class of 2012
## Record status
- **NPPES last updated:** July 11, 2018
- **Other identifiers:** Medicaid 110099134A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1205173002) · Data from the CMS NPPES public registry.