MRS. SUSAN D NICOLAS P.A.
NPI 1245560200
Physician Assistant in Mineola, NY

Active since January 13, 2010PECOS Enrolled
84.47/100
CMS Quality Rating

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Susan D Nicolas P.a. NPPES

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

MRS. SUSAN D NICOLAS P.A. (NPI 1245560200) is an individual physician assistant in Mineola, New York, licensed in New York (003497-01) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245560200
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SUSAN D NICOLASCredential: P.A.
Location Address259 1ST STMineola, NY 11501-3957
Mailing Address1022 Throgmorton AveBronx, NY 10465-1523 · (917) 604-8282
Sole ProprietorNo
Enumeration DateJanuary 13, 2010
NPI 1245560200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 003497-01
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

259 1ST ST, Mineola, NY 11501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Susan D Nicolas P.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Physician Assistant (Medical)
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Pediatrics (Neonatal-Perinatal Medicine)
259 1ST ST
MINEOLA, NY 11501
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Pediatrics (Pediatric Emergency Medicine)
259 1ST ST
MINEOLA, NY 11501

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 Susan Nicolas's NPI number?

The NPI number for Susan Nicolas is 1245560200. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Susan Nicolas located?

Susan Nicolas practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-0333.

What is Susan Nicolas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Nicolas enrolled in Medicare?

Yes. Susan Nicolas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Nicolas was last updated on January 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.