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NICOLE ROCHELLE GROFF PA-C
NPI 1619525276
Physician Assistant in Philadelphia, PA

Active since August 27, 2019PECOS Enrolled
4417 N 6TH ST, PHILADELPHIA, PA 19140(215) 302-3150(215) 329-2369 Get Directions Write a Review

NPPES record last updated: November 27, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 27, 2022, Aug 27, 2019 (2 updates tracked since 2019).

About Nicole Rochelle Groff Pa-c NPPES

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

NICOLE ROCHELLE GROFF PA-C (NPI 1619525276) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA064179) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619525276
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ROCHELLE GROFFCredential: PA-C
Location Address4417 N 6TH STPhiladelphia, PA 19140-2319
Mailing Address4417 N 8th StPhiladelphia, PA 19140-2246 · (215) 302-3150 · Fax (215) 329-2369
Phone(215) 302-3150
Fax(215) 329-2369
Sole ProprietorNo
Enumeration DateAugust 27, 2019
Last NPPES UpdateNovember 27, 20222 updates tracked since enumeration
NPPES CertifiedNovember 27, 2022
✔ NPI 1619525276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA064179
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4417 N 6TH ST, Philadelphia, PA 19140
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11462 Clifton Rd NE Ste 280Atlanta, GA 30322-1000 · Phone (404) 727-7825
Location 21233 Woodland Ave NE Apt 5Atlanta, GA 30324-4547 · Phone (678) 815-9996

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 Rochelle Groff 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 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

DOMINIC DERENGE D.O.
Family Medicine
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-6000
DHIVYA T PATTANIYIL MSN, CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
HELEN MUTOKO
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
MARY SIMMS LPC
Counselor (Mental Health)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
OANH HOANG VO CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
KERITH DUGGAN CRNP
Nurse Practitioner (Pediatrics)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
ESPERANZA HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4417 N 6TH ST, ESPERANZA HEALTH CEN
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3150
CHRISTINA ELYSE DERENGE PSYD
Psychologist
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600

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 Groff's NPI number?

The NPI number for Nicole Groff is 1619525276. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Nicole Groff located?

Nicole Groff practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-3150.

What is Nicole Groff's specialty?

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

Is Nicole Groff enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Groff was last updated on November 27, 2022. 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.