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DENISE NICHOLSON FNP
NPI 1205365145
Family Medicine in Bronx, NY

Active since June 05, 2017PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-4702 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Denise Nicholson Fnp NPPES

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

DENISE NICHOLSON FNP (NPI 1205365145) is an individual family medicine provider in Bronx, New York, licensed in New York (F341494-1) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205365145
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDENISE NICHOLSONCredential: FNP
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address128 W Clarkstown RdNew City, NY 10956-1558
Phone(718) 920-4702
Sole ProprietorYes
Enumeration DateJune 5, 2017
✔ NPI 1205365145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · F341494-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Nicholson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Denise Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Post Road Medical Services PC
12 mi
Emergency Medicine
41 E POST RD
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 479 clinicians in this Medicare group
NPI 1841767274 (914) 681-1210

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 10467 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.

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Denise Nicholson's NPI number?

The NPI number for Denise Nicholson is 1205365145. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Denise Nicholson located?

Denise Nicholson practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4702.

What is Denise Nicholson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Denise Nicholson enrolled in Medicare?

Yes. Denise Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denise Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Nicholson reassigns Medicare benefits to East Post Road Medical Services PC (White Plains, 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 Denise Nicholson'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 Denise Nicholson was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.