NICOLE CHWASTIAK DPM
NPI 1649670803
Podiatrist - Foot Surgery in Tamaqua, PA
About Nicole Chwastiak Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE CHWASTIAK DPM (NPI 1649670803) is an individual foot surgery provider in Tamaqua, Pennsylvania, licensed in Pennsylvania (SC006565) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Chwastiak Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Chwastiak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tamaqua, PA 18252
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Chwastiak's NPI number?
The NPI number for Nicole Chwastiak is 1649670803. It was assigned to this individual provider in the NPPES registry on August 25, 2014.
Where is Nicole Chwastiak located?
Nicole Chwastiak practices at 617 E Broad St, Tamaqua, PA 18252. The listed phone number is (570) 668-5170.
What is Nicole Chwastiak's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Nicole Chwastiak enrolled in Medicare?
Yes. Nicole Chwastiak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Chwastiak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Chwastiak reassigns Medicare benefits to (Tamaqua, PA). The 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 Chwastiak'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 Chwastiak was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Nicole Chwastiak, DPM · NPI 1649670803
Foot Surgery provider in Tamaqua, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 25, 2014.
## Identity
- **NPI:** 1649670803 (Entity type: Individual)
- **Enumerated:** August 25, 2014
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **State license:** SC006565 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 617 E BROAD ST, Tamaqua, PA 18252-2206
- **Phone:** (570) 668-5170 · **Fax:** (570) 668-5171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** (NPI 1083615918, Tamaqua, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1649670803) · Data from the CMS NPPES public registry.