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NICOLE BOUCICAUT PA-C
NPI 1508474081
Physician Assistant in New York, NY

Active since July 21, 2020PECOS Enrolled
160 E 53RD ST, NEW YORK, NY 10022(516) 563-0139 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2026, Jul 21, 2020 (2 updates tracked since 2020).

About Nicole Boucicaut Pa-c NPPES

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

NICOLE BOUCICAUT PA-C (NPI 1508474081) is an individual physician assistant in New York, New York and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508474081
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE BOUCICAUTCredential: PA-C
Location Address160 E 53RD STNew York, NY 10022-5243
Mailing Address160 E 53rd StNew York, NY 10022-5243
Phone(516) 563-0139
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1508474081 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.
160 E 53RD ST, New York, NY 10022
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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 Boucicaut Pa-c 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 10022 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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. RACHEL T. FREEMAN RPA-C
Physician Assistant (Surgical)
160 E 53RD ST, 3RD FLOOR
NEW YORK, NY 10022
New York County (212) 610-0067
DR. ROHIT THUMMALAPALLI MD
Internal Medicine (Hematology & Oncology)
160 E 53RD ST
NEW YORK, NY 10022
New York County (212) 639-2000
JOANNE FALLETTA CREGG ANP
Nurse Practitioner (Adult Health)
160 E 53RD ST, 7TH FLOOR
NEW YORK, NY 10022
New York County (212) 610-0488
DR. STEPHANIE N GUZMAN PHARM.D.
Pharmacist
160 E 53RD ST, PHARMACY - 3RD FL
NEW YORK, NY 10022
New York County (212) 610-0117
NAYUN LIM PHARM. D
Pharmacist
160 E 53RD ST, 3RD FL
NEW YORK, NY 10022
New York County (646) 888-0731
MS. RACHAEL BETH POLLINA FNP
Nurse Practitioner (Family)
160 E 53RD ST, 9TH FLOOR, THORACIC ONCOLOGY
NEW YORK, NY 10022
New York County (212) 610-0589
JODI WALD RPH
Pharmacist
160 E 53RD ST, 3RD FLOOR
NEW YORK, NY 10022
New York County (212) 610-0112
DR. FAYNA GOLDSHMIDT PHARMD
Pharmacist (Oncology)
160 E 53RD ST, 3RD FLOOR PHARMACY
NEW YORK, NY 10022
New York County (212) 610-0117

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 Boucicaut's NPI number?

The NPI number for Nicole Boucicaut is 1508474081. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Nicole Boucicaut located?

Nicole Boucicaut practices at 160 E 53rd St, New York, NY 10022. The listed phone number is (516) 563-0139.

What is Nicole Boucicaut's specialty?

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

Is Nicole Boucicaut enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Boucicaut was last updated on January 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.