MRS. NICOLE GOULT FNP
NPI 1558046557
Family Medicine in Cicero, NY

Q: What is Nicole Goult's NPI number?

The NPI number for Nicole Goult is 1558046557. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Q: What is Nicole Goult's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Goult was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment

7851 BREWERTON RD # 1, CICERO, NY 13039(315) 484-5809 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Nicole Goult Fnp NPPES

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

MRS. NICOLE GOULT FNP (NPI 1558046557) is an individual family medicine provider in Cicero, New York, licensed in New York (F352053-01) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1558046557

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. NICOLE GOULTCredential: FNP

Location Address7851 BREWERTON RD # 1Cicero, NY 13039-9533

Mailing Address91 Hogsback RdHastings, NY 13076-4104

Phone(315) 484-5809

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 16, 2023

NPPES CertifiedJune 8, 2023

✔ NPI 1558046557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · F352053-01

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7851 BREWERTON RD # 1, Cicero, NY 13039

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicole Goult Fnp 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 ID2860854718

PECOS Enrollment IDI20230809003720

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Goult reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellnow Urgent Care, PC

5.0 mi

Urgent Care

7375 OSWEGO RD, SUITE1
Liverpool, NY 13090

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Wellnow Urgent Care, P.C.
511 clinicians in this Medicare group

NPI 1669825162 (716) 699-9032

On Care Family Health Np, PLLC

13 mi

Nurse Practitioner

4591 STONELEDGE LN
Manlius, NY 13104

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1043981814 (315) 256-1249

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

48 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services41 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13039 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

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

ALTHEA ROSE HENDERSON PA

Physician Assistant

7851 BREWERTON RD # 1
CICERO, NY 13039

Onondaga County (315) 484-5809

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 Goult's NPI number?

The NPI number for Nicole Goult is 1558046557. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Nicole Goult located?

Nicole Goult practices at 7851 Brewerton Rd # 1, Cicero, NY 13039. The listed phone number is (315) 484-5809.

What is Nicole Goult's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Goult enrolled in Medicare?

Yes. Nicole Goult 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.

Which organizations bill Medicare for Nicole Goult's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Goult reassigns Medicare benefits to 2 organizations: Wellnow Urgent Care, PC (Liverpool, NY) and On Care Family Health Np, PLLC (Manlius, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Goult's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Goult was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.