NICOLE COHEN STOLLMAN PA-C
NPI 1497212484
Physician Assistant - Medical in Brooklyn, NY

Active since February 26, 2019Opted out of Medicare · through Feb 19, 2028
161 ATLANTIC AVE STE 202, BROOKLYN, NY 11201(212) 430-6677 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Feb 15, 2023, Jul 7, 2021 and 2 more (5 updates tracked since 2019).

About Nicole Cohen Stollman Pa-c NPPES

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

NICOLE COHEN STOLLMAN PA-C (NPI 1497212484) is an individual medical provider in Brooklyn, New York, licensed in New York (026627) and active in the NPI registry since February 2019. She has opted out of Medicare through February 19, 2028 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1497212484
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE COHEN STOLLMANCredential: PA-C
Location Address161 ATLANTIC AVE STE 202Brooklyn, NY 11201-6720
Mailing Address161 Atlantic Ave Ste 202Brooklyn, NY 11201-6720 · (212) 430-6677
Sole ProprietorNo
Enumeration DateFebruary 26, 2019
Last NPPES UpdateMay 9, 20255 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1497212484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NY · 026627 Licensed in GA · 45876
161 ATLANTIC AVE STE 202, Brooklyn, NY 11201

Secondary Practice Locations 3

Location 1153 Clinton St Lowr LevelBrooklyn, NY 11201-4601 · Phone (212) 430-6677
Location 2711 Canton Rd NE Ste 300Marietta, GA 30060-8949 · Phone (678) 741-5000
Location 3111 E 57th St Rm 202New York, NY 10022-2645 · Phone (646) 921-6266

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nicole Cohen Stollman Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 19, 2026 through February 19, 2028.

Opt-Out Effective DateFebruary 19, 2026
Opt-Out In Effect ThroughFebruary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
161 ATLANTIC AVE STE 202
BROOKLYN, NY 11201

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 Stollman's NPI number?

The NPI number for Nicole Stollman is 1497212484. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Nicole Stollman located?

Nicole Stollman practices at 161 Atlantic Ave Ste 202, Brooklyn, NY 11201. The listed phone number is (212) 430-6677.

What is Nicole Stollman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Stollman enrolled in Medicare?

No. Nicole Stollman has opted out of Medicare through February 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicole Stollman was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.