NICOLE MICHELE KILLIAN NP
NPI 1700550373
Nurse Practitioner - Acute Care in New York, NY

Q: What is Nicole Killian's NPI number?

The NPI number for Nicole Killian is 1700550373. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Nicole Killian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Killian was last updated on January 23, 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.

Active since August 05, 2021PECOS Enrolled

180 FORT WASHINGTON AVE FL 7, NEW YORK, NY 10032(212) 305-7340 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2023, Feb 4, 2022, Aug 5, 2021 (3 updates tracked since 2021).

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About Nicole Michele Killian Np NPPES

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

NICOLE MICHELE KILLIAN NP (NPI 1700550373) is an individual acute care provider in New York, New York, licensed in New York (F432194) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700550373

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameNICOLE MICHELE KILLIANCredential: NP

Location Address180 FORT WASHINGTON AVE FL 7New York, NY 10032-3722

Mailing Address630 W 168th St # 4New York, NY 10032-3725

Phone(212) 305-7340

Sole ProprietorNo

Enumeration DateAugust 5, 2021

Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2023

✔ NPI 1700550373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F432194

Also ListedRegistered NurseTaxonomy 163W00000X · License 780628-01 (NY), 0260125721 (VT)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 432194 (NY)

180 FORT WASHINGTON AVE FL 7, New York, NY 10032

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Secondary Practice Locations 2

Location 1111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-1237

Location 275 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 563-7371

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 Michele Killian Np 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 10032 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 14

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

DR. JEREMY PAUL TERVO MD

Student in an Organized Health Care Education/Training Program