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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA NICOLE NICKLO FNP
NPI 1447183496
Nurse Practitioner - Family in Latham, NY

Active since June 08, 2026PECOS Enrolled
713 TROY SCHENECTADY RD STE 224, LATHAM, NY 12110(518) 269-4700(518) 944-2560 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jessica Nicole Nicklo Fnp NPPES

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

JESSICA NICOLE NICKLO FNP (NPI 1447183496) is an individual family provider in Latham, New York, licensed in New York (360001) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447183496
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA NICOLE NICKLOCredential: FNP
Location Address713 TROY SCHENECTADY RD STE 224Latham, NY 12110-2490
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Phone(518) 269-4700
Fax(518) 944-2560
Sole ProprietorNo
Enumeration DateJune 8, 2026
Last NPPES UpdateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
✔ NPI 1447183496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 360001
713 TROY SCHENECTADY RD STE 224, Latham, NY 12110
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11440 Western AveAlbany, NY 12203-3421 · Phone (518) 451-7570 · Fax (518) 621-5691
Location 2713 Troy Schenectady Rd Ste 224Latham, NY 12110-2490 · Phone (518) 269-4700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Nicole Nicklo Fnp 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 12110 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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 20

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

ADRIANNA JONES HALLENBECK FNP
Nurse Practitioner (Family)
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 269-4700
ASHLEY ANN BELLINGER
Counselor (Mental Health)
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 782-3976
ALISON SIFFLET LMHC
Counselor (Mental Health)
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 785-5881
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Family Medicine
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 269-4700
NATALIA PAOLA MULLINS MD
Family Medicine
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 269-4700
BETSY VARGHESE RAJAN NP
Nurse Practitioner (Family)
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 786-6270
CASSANDRA WELLS LCSW
Social Worker (Clinical)
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 213-0584
KATELYN HUMANN LSW
Social Worker
713 TROY SCHENECTADY RD STE 224
LATHAM, NY 12110
Albany County (518) 881-1109

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 Jessica Nicklo's NPI number?

The NPI number for Jessica Nicklo is 1447183496. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Jessica Nicklo located?

Jessica Nicklo practices at 713 Troy Schenectady Rd Ste 224, Latham, NY 12110. The listed phone number is (518) 269-4700.

What is Jessica Nicklo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Nicklo enrolled in Medicare?

Yes. Jessica Nicklo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Nicklo was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.