NOELLE NISCO
NPI 1619701620
Nurse Practitioner - Family in Brooklyn, NY

Active since August 30, 2024PECOS EnrolledAccepts Medicare Assignment
475 ATLANTIC AVE STE 2, BROOKLYN, NY 11217(917) 246-7498 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Noelle Nisco NPPES

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

NOELLE NISCO (NPI 1619701620) is an individual family provider in Brooklyn, New York, licensed in New York (356143) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619701620
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNOELLE NISCO
Location Address475 ATLANTIC AVE STE 2Brooklyn, NY 11217-4383
Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 30, 2024
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1619701620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 356143
Also ListedRegistered NurseTaxonomy 163W00000X · License 954558 (NY), 95381021 (CA), RN323785 (GA)
475 ATLANTIC AVE STE 2, Brooklyn, NY 11217

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

Noelle Nisco 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 ID941798987
PECOS Enrollment IDI20251022002084
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 11217 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 4

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

Internal Medicine
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217
Nurse Practitioner
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217
Internal Medicine (Infectious Disease)
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217
Internal Medicine (Infectious Disease)
475 ATLANTIC AVE STE 2
BROOKLYN, NY 11217

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 Noelle Nisco's NPI number?

The NPI number for Noelle Nisco is 1619701620. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Noelle Nisco located?

Noelle Nisco practices at 475 Atlantic Ave Ste 2, Brooklyn, NY 11217. The listed phone number is (917) 246-7498.

What is Noelle Nisco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Noelle Nisco enrolled in Medicare?

Yes. Noelle Nisco 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 Noelle Nisco was last updated on April 23, 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.