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NICOLE JOANN CUSUMANO
NPI 1467073635
Physician Assistant in Staten Island, NY

Active since April 29, 2020PECOS Enrolled
91.25/100
CMS Quality Rating
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Joann Cusumano NPPES

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

NICOLE JOANN CUSUMANO (NPI 1467073635) is an individual physician assistant in Staten Island, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467073635
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE JOANN CUSUMANO
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address147 Carlyle GrnStaten Island, NY 10312-1719 · (646) 784-0120
Phone(718) 226-9000
Sole ProprietorNo
Enumeration DateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1467073635 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.
475 SEAVIEW AVE, Staten Island, NY 10305
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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 Joann Cusumano 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 10305 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

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.

MRS. DAWN MARIE COTTONE RPA-C
Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9508
SHAMYLA FARRUKH MD
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9158
MS. CHRISTINE ANN SPRUFERO CCC - SLP
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6521
DR. SAMANTHA MARIA LEE MD
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9510
DR. SHOROK E HASSAN D.O.
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
DAVID K CHEN MD
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
STEPHANIE M POWERS
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9466
KRISTEN COLANDREA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (347) 681-4146

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 Cusumano's NPI number?

The NPI number for Nicole Cusumano is 1467073635. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Nicole Cusumano located?

Nicole Cusumano practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9000.

What is Nicole Cusumano's specialty?

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

Is Nicole Cusumano enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Cusumano was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.