NICOLE PURDY
NPI 1417353483
Physician Assistant in Valley Stream, NY

Active since November 18, 2014PECOS Enrolled
91.25/100
CMS Quality Rating
117 ANN ST, VALLEY STREAM, NY 11580(516) 298-2547 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Purdy NPPES

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

NICOLE PURDY (NPI 1417353483) is an individual physician assistant in Valley Stream, New York and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417353483
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE PURDY
Location Address117 ANN STValley Stream, NY 11580-2701
Mailing Address117 Ann StValley Stream, NY 11580-2701 · (516) 298-2547
Sole ProprietorNo
Enumeration DateNovember 18, 2014
NPI 1417353483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
117 ANN ST, Valley Stream, NY 11580

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 Purdy 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 11580 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Purdy's NPI number?

The NPI number for Nicole Purdy is 1417353483. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Nicole Purdy located?

Nicole Purdy practices at 117 Ann St, Valley Stream, NY 11580. The listed phone number is (516) 298-2547.

What is Nicole Purdy's specialty?

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

Is Nicole Purdy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Purdy was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.