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MS. NICOLE MARIA ANTZOULIDES CONROE P.A.
NPI 1740422336
Physician Assistant in Orchard Park, NY

Active since March 30, 2009PECOS EnrolledAccepts Medicare Assignment
3680 EGGERT RD, ORCHARD PARK, NY 14127(716) 662-5357(716) 662-2774 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2021, Dec 16, 2020, Jan 14, 2020 (3 updates tracked since 2020).

About Ms. Nicole Maria Antzoulides Conroe P.a. NPPES

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

MS. NICOLE MARIA ANTZOULIDES CONROE P.A. (NPI 1740422336) is an individual physician assistant in Orchard Park, New York, licensed in New York (013201) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1740422336
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. NICOLE MARIA ANTZOULIDES CONROECredential: P.A.
Location Address3680 EGGERT RDOrchard Park, NY 14127-1963
Mailing Address3680 Eggert RdOrchard Park, NY 14127-1963
Phone(716) 662-5357
Fax(716) 662-2774
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 30, 2009
Last NPPES UpdateFebruary 8, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1740422336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 013201
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 013201-1 (NY)
3680 EGGERT RD, Orchard Park, NY 14127
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Other Names 1

Former Name (1)Miss Nicole Maria Antzoulides

Other Identifiers 1

Other013201NY · Nys License

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

Ms. Nicole Maria Antzoulides Conroe P.a. 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 ID8820148117
PECOS Enrollment IDI20090609000002
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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 2

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

MRS. LEAH DANIELLE SPECIALE RN, BSN, FNP-BC
Nurse Practitioner (Family)
3680 EGGERT RD
ORCHARD PARK, NY 14127
Erie County (716) 662-5357
BREANNA NICOLE VOIGT RPA-C
Physician Assistant
3680 EGGERT RD
ORCHARD PARK, NY 14127
Erie County (716) 662-5357

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 Antzoulides Conroe's NPI number?

The NPI number for Nicole Antzoulides Conroe is 1740422336. It was assigned to this individual provider in the NPPES registry on March 30, 2009. The provider is also known as Miss Nicole Maria Antzoulides.

Where is Nicole Antzoulides Conroe located?

Nicole Antzoulides Conroe practices at 3680 Eggert Rd, Orchard Park, NY 14127. The listed phone number is (716) 662-5357.

What is Nicole Antzoulides Conroe's specialty?

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

Is Nicole Antzoulides Conroe enrolled in Medicare?

Yes. Nicole Antzoulides Conroe 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 Antzoulides Conroe affiliated with any hospitals?

According to CMS data, Nicole Antzoulides Conroe is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Nicole Antzoulides Conroe was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.