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NICOLE ELLISON
NPI 1679224406
Physician Assistant in Rochester, NY

Active since January 13, 2022PECOS EnrolledAccepts Medicare Assignment
601 ELMWOOD AVE., ROCHESTER, NY 14642(585) 275-4912(585) 276-2144 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2023, Jul 6, 2023, Jan 13, 2022 (3 updates tracked since 2022).

About Nicole Ellison NPPES

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

NICOLE ELLISON (NPI 1679224406) is an individual physician assistant in Rochester, New York, licensed in New York (030084) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679224406
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ELLISON
Location Address601 ELMWOOD AVE.Rochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box MedRochester, NY 14642-0001 · (585) 275-4912
Phone(585) 275-4912
Fax(585) 276-2144
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 13, 2022
Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1679224406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 030084
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.
601 ELMWOOD AVE., Rochester, NY 14642
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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

Nicole Ellison 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 ID7113388059
PECOS Enrollment IDI20230726000772
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

DR. YICHUN LIN M.D.
Anesthesiology
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-2141
DR. BETHANY CORBIN M.D.
Internal Medicine
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-4912
BRIDGET PATRICIA SMITH
Physician Assistant (Medical)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-0992
CHAVONNE KOUASSI
Pediatrics (Pediatric Gastroenterology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-2647
DR. ERIN MICHELLE ARMENIA M.D.
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-4912
NOMAN AFZAL MD
Psychiatry & Neurology (Psychiatry)
601 ELMWOOD AVE., BOX PSYCH
ROCHESTER, NY 14642
Monroe County (585) 275-4501
DR. JAMES BAI M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 275-1416
SARAH GARDNER THAPPA DO
Obstetrics & Gynecology
601 ELMWOOD AVE.
ROCHESTER, NY 14642
Monroe County (585) 276-5368

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 Ellison's NPI number?

The NPI number for Nicole Ellison is 1679224406. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Nicole Ellison located?

Nicole Ellison practices at 601 Elmwood Ave., Rochester, NY 14642. The listed phone number is (585) 275-4912.

What is Nicole Ellison's specialty?

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

Is Nicole Ellison enrolled in Medicare?

Yes. Nicole Ellison 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.

Is Nicole Ellison affiliated with any hospitals?

According to CMS data, Nicole Ellison is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Ellison was last updated on July 13, 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.