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MARY ELLEN NICHOLS PNP
NPI 1649203555
Nurse Practitioner - Pediatrics in Rochester, NY

Active since July 07, 2006
1555 LONG POND RD, DEPARTMENT OF PEDIATRICS, ROCHESTER, NY 14626(585) 368-4012(585) 368-4019 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ellen Nichols Pnp NPPES

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

MARY ELLEN NICHOLS PNP (NPI 1649203555) is an individual pediatrics provider in Rochester, New York, licensed in New York (F381231) and active in the NPI registry since July 2006. She maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1649203555
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY ELLEN NICHOLSCredential: PNP
Location Address1555 LONG POND RD, DEPARTMENT OF PEDIATRICSRochester, NY 14626-4122
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-0553
Phone(585) 368-4012
Fax(585) 368-4019
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 15, 2019
✔ NPI 1649203555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F381231
1555 LONG POND RD, Rochester, NY 14626
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Other Names 1

Former Name (1)Mary Ellen Capece Pnp

Secondary Practice Location 1

Location 11200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2660 · Fax (315) 359-2635

Other Identifiers 1

Medicaid02573513NY

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070

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 Mary Ellen Nichols's NPI number?

The NPI number for Mary Ellen Nichols is 1649203555. It was assigned to this individual provider in the NPPES registry on July 7, 2006. The provider is also known as Mary Ellen Capece Pnp.

Where is Mary Ellen Nichols located?

Mary Ellen Nichols practices at 1555 Long Pond Rd Department Of Pediatrics, Rochester, NY 14626. The listed phone number is (585) 368-4012.

What is Mary Ellen Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Ellen Nichols was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.