NICHOLAS JOHN WODO NP
NPI 1730749847
Nurse Practitioner - Pediatrics in Rochester, NY

Active since June 20, 2019PECOS Enrolled
601 ELMWOOD AVE BOX 690, ROCHESTER, NY 14642(585) 275-7744 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2023, Nov 2, 2020, Jun 20, 2019 (3 updates tracked since 2019).

About Nicholas John Wodo Np NPPES

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

NICHOLAS JOHN WODO NP (NPI 1730749847) is an individual pediatrics provider in Rochester, New York, licensed in New York (382984) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730749847
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameNICHOLAS JOHN WODOCredential: NP
Location Address601 ELMWOOD AVE BOX 690Rochester, NY 14642-0001
Mailing Address220 Crossroads LnRochester, NY 14612-3438 · (716) 523-1523
Sole ProprietorNo
Enumeration DateJune 20, 2019
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1730749847 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 · 382984
601 ELMWOOD AVE BOX 690, Rochester, NY 14642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas John Wodo 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicholas Wodo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Care
601 ELMWOOD AVE, BOX 655
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
Pediatric Endocrinology
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Nicholas Wodo's NPI number?

The NPI number for Nicholas Wodo is 1730749847. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Nicholas Wodo located?

Nicholas Wodo practices at 601 Elmwood Ave Box 690, Rochester, NY 14642. The listed phone number is (585) 275-7744.

What is Nicholas Wodo's specialty?

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

Is Nicholas Wodo enrolled in Medicare?

Yes. Nicholas Wodo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Wodo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Wodo reassigns Medicare benefits to 3 organizations: Emergency Associates - University Of Rochester (Rochester, NY), Pediatric Metabolism Endercrenology (Rochester, NY) and University Of Rochester (Rochester, NY). Each 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 Nicholas Wodo'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 Nicholas Wodo was last updated on July 3, 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.