NICOLE COURTENAY PA
NPI 1225843667
Physician Assistant - Surgical in Riverhead, NY
About Nicole Courtenay Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE COURTENAY PA (NPI 1225843667) is an individual surgical provider in Riverhead, New York, licensed in New York (1231985) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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 Courtenay Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peconic Bay Medical Center
Acute Care Hospitals · Riverhead, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
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 Courtenay's NPI number?
The NPI number for Nicole Courtenay is 1225843667. It was assigned to this individual provider in the NPPES registry on February 12, 2025.
Where is Nicole Courtenay located?
Nicole Courtenay practices at 1 Heroes Way, Riverhead, NY 11901. The listed phone number is (631) 548-6000.
What is Nicole Courtenay's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Nicole Courtenay enrolled in Medicare?
Yes. Nicole Courtenay 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 Courtenay affiliated with any hospitals?
According to CMS data, Nicole Courtenay is affiliated with Peconic Bay Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Courtenay was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Nicole Courtenay, PA · NPI 1225843667
Surgical physician in Riverhead, New York. Individual provider, active in the CMS NPPES registry since February 12, 2025.
## Identity
- **NPI:** 1225843667 (Entity type: Individual)
- **Enumerated:** February 12, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 1231985 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HEROES WAY, Riverhead, NY 11901-2058
- **Phone:** (631) 548-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225843667) · Data from the CMS NPPES public registry.