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MR. JOHN MICHAEL NELLIGAN RPA
NPI 1255420089
Physician Assistant in Gansevoort, NY

Active since October 12, 2006PECOS Enrolled
14 MOUNTAIN LEDGE, GANSEVOORT, NY 12831(518) 584-4953(518) 584-7916 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Michael Nelligan Rpa NPPES

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

MR. JOHN MICHAEL NELLIGAN RPA (NPI 1255420089) is an individual physician assistant in Gansevoort, New York, licensed in New York (007811-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255420089
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN MICHAEL NELLIGANCredential: RPA
Location Address14 MOUNTAIN LEDGEGansevoort, NY 12831-1858
Mailing Address14 Mountain LedgeGansevoort, NY 12831-1858 · (518) 584-4953 · Fax (518) 584-7916
Phone(518) 584-4953
Fax(518) 584-7916
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateSeptember 20, 2007
✔ NPI 1255420089 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 · 007811-1
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.
14 MOUNTAIN LEDGE, Gansevoort, NY 12831
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Other Identifiers 1

Medicare ID-Type UnspecifiedPA0867NY · Medicare Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Michael Nelligan Rpa 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 12831 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TLC MEDICAL CLINIC
Medical Genetics, Ph.D. Medical Genetics
14 MOUNTAIN LEDGE, SUITE 2
WILTON, NY 12831
Saratoga County (518) 226-0755
KIMBERLY A DOBRODZIEJ O.D.
Optometrist
14 MOUNTAIN LEDGE
WILTON, NY 12831
Saratoga County (518) 450-1080
DR. CHRISTOPHER R ZIEKER MD
Ophthalmology
14 MOUNTAIN LEDGE
WILTON, NY 12831
Saratoga County (518) 339-4839
ZIEKER EYE OPHTHALMOLOGY, P.C.
Clinic/Center (Ophthalmologic Surgery)
14 MOUNTAIN LEDGE
WILTON, NY 12831
Saratoga County (518) 450-1080
DR. MATTHEW E BEAULIEU OD
Optometrist
14 MOUNTAIN LEDGE
WILTON, NY 12831
Saratoga County (518) 450-1080

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 John Nelligan's NPI number?

The NPI number for John Nelligan is 1255420089. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is John Nelligan located?

John Nelligan practices at 14 Mountain Ledge, Gansevoort, NY 12831. The listed phone number is (518) 584-4953.

What is John Nelligan's specialty?

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

Is John Nelligan enrolled in Medicare?

Yes. John Nelligan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Nelligan was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.