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MISS NICOLE MARIE DOUR PA-C
NPI 1467962597
Physician Assistant in East Patchogue, NY

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
100 HOSPITAL RD STE 200, EAST PATCHOGUE, NY 11772(631) 307-9737 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2020, Feb 5, 2019, Oct 24, 2017 (3 updates tracked since 2017).

About Miss Nicole Marie Dour Pa-c NPPES

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

MISS NICOLE MARIE DOUR PA-C (NPI 1467962597) is an individual physician assistant in East Patchogue, New York, licensed in New York (021538) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467962597
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS NICOLE MARIE DOURCredential: PA-C
Location Address100 HOSPITAL RD STE 200East Patchogue, NY 11772-8814
Mailing Address19 Kental LnNesconset, NY 11767-1511 · (516) 233-0657
Phone(631) 307-9737
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 3, 2017
Last NPPES UpdateMarch 2, 20203 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1467962597 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 · 021538
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.
100 HOSPITAL RD STE 200, East Patchogue, NY 11772
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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 and accepts Medicare assignment

Miss Nicole Marie Dour Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496015752
PECOS Enrollment IDI20180205002712
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 11772 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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

VIVIANA ROSA DADD NP
Nurse Practitioner (Family)
100 HOSPITAL RD STE 200
EAST PATCHOGUE, NY 11772
Suffolk County (631) 228-5802
JULIE DROLET MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
100 HOSPITAL RD STE 200
EAST PATCHOGUE, NY 11772
Suffolk County (516) 388-3612

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 Dour's NPI number?

The NPI number for Nicole Dour is 1467962597. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Nicole Dour located?

Nicole Dour practices at 100 Hospital Rd Ste 200, East Patchogue, NY 11772. The listed phone number is (631) 307-9737.

What is Nicole Dour's specialty?

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

Is Nicole Dour enrolled in Medicare?

Yes. Nicole Dour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Dour was last updated on March 2, 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.