NICOLE KRISTINE WANNAMAKER
NPI 1205453826
Nurse Practitioner - Family in Cooperstown, NY

Active since June 30, 2020PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3120 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2020, Jun 30, 2020 (2 updates tracked since 2020).

About Nicole Kristine Wannamaker NPPES

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

NICOLE KRISTINE WANNAMAKER (NPI 1205453826) is an individual family provider in Cooperstown, New York, licensed in New York (346059) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205453826
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE KRISTINE WANNAMAKER
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3283 · Fax (607) 547-6906
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 30, 2020
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
NPI 1205453826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 346059
1 ATWELL RD, Cooperstown, NY 13326

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 Kristine Wannamaker 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 ID6103246046
PECOS Enrollment IDI20201015001047
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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
157 services142 patients
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.
121 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services24 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers31 claims31 services$43.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers66 claims67 services$108.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers88 claims179 services$41.49 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers45 claims201 services$22.99 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers24 claims114 services$18.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers63 claims63 services$71.11 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.

Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326

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 Wannamaker's NPI number?

The NPI number for Nicole Wannamaker is 1205453826. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Nicole Wannamaker located?

Nicole Wannamaker practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3120.

What is Nicole Wannamaker's specialty?

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

Is Nicole Wannamaker enrolled in Medicare?

Yes. Nicole Wannamaker 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 Wannamaker affiliated with any hospitals?

According to CMS data, Nicole Wannamaker is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, O'connor Hospital and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Wannamaker was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.