NICOLE MARIE BACHOVIN PA-C
NPI 1326358482
Physician Assistant - Surgical in Philadelphia, PA

Active since October 07, 2010PECOS Enrolled
3400 SPRUCE ST, 1 WEST GATES, PHILADELPHIA, PA 19104(215) 662-2730 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Marie Bachovin Pa-c NPPES

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

NICOLE MARIE BACHOVIN PA-C (NPI 1326358482) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA054611) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326358482
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE MARIE BACHOVINCredential: PA-C
Location Address3400 SPRUCE ST, 1 WEST GATESPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce St, 1 West GatesPhiladelphia, PA 19104-4238 · (215) 662-2730
Sole ProprietorNo
Enumeration DateOctober 7, 2010
Last NPPES UpdateMarch 3, 2017
NPI 1326358482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in PA · MA054611
3400 SPRUCE ST, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Marie Bachovin Pa-c 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.

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 Bachovin's NPI number?

The NPI number for Nicole Bachovin is 1326358482. It was assigned to this individual provider in the NPPES registry on October 7, 2010.

Where is Nicole Bachovin located?

Nicole Bachovin practices at 3400 Spruce St 1 West Gates, Philadelphia, PA 19104. The listed phone number is (215) 662-2730.

What is Nicole Bachovin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Bachovin enrolled in Medicare?

Yes. Nicole Bachovin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Bachovin was last updated on March 3, 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.