NICOLE ANNE WAXMAN NP-C
NPI 1750711412
Nurse Practitioner - Adult Health in New York, NY

Q: What is Nicole Waxman's NPI number?

The NPI number for Nicole Waxman is 1750711412. It was assigned to this individual provider in the NPPES registry on November 17, 2013. The provider is also known as Miss Nicole Anne Marette Np-C.

Q: What is Nicole Waxman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Waxman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 17, 2013PECOS Enrolled

ONE PENN PLAZA, 8TH FLOOR, OPTUM, NEW YORK, NY 10119(516) 799-0210(516) 799-0247 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 5, 2017, Nov 1, 2016 and 1 more (4 updates tracked since 2016).

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About Nicole Anne Waxman Np-c NPPES

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

NICOLE ANNE WAXMAN NP-C (NPI 1750711412) is an individual adult health provider in New York, New York, licensed in New York (F307697-1) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750711412

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameNICOLE ANNE WAXMANCredential: NP-C

Location AddressONE PENN PLAZA, 8TH FLOOR, OPTUMNew York, NY 10119-0002

Mailing AddressOne Penn Plaza, 8th Floor, OptumNew York, NY 10119-0002 · (347) 395-7493 · Fax (844) 428-4577

Phone(516) 799-0210

Fax(516) 799-0247

Sole ProprietorNo

Enumeration DateNovember 17, 2013

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1750711412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in NY · F307697-1✔ Licensed in NJ · 26NJ00472700

ONE PENN PLAZA, 8TH FLOOR, New York, NY 10119

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Other Names 1

Former Name (1)Miss Nicole Anne Marette Np-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Anne Waxman Np-c 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 Reassignment

Medicare enrollment records show Nicole Waxman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gjmec & Lt LLC

30 mi

Adult Medicine

54 NICOLE DR
Denville, NJ 07834

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1033544531 (201) 650-1855

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 10119 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.

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 Waxman's NPI number?

The NPI number for Nicole Waxman is 1750711412. It was assigned to this individual provider in the NPPES registry on November 17, 2013. The provider is also known as Miss Nicole Anne Marette Np-C.

Where is Nicole Waxman located?

Nicole Waxman practices at One Penn Plaza, 8th Floor Optum, New York, NY 10119. The listed phone number is (516) 799-0210.

What is Nicole Waxman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicole Waxman enrolled in Medicare?

Yes. Nicole Waxman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Waxman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Waxman reassigns Medicare benefits to Gjmec & Lt LLC (Denville, NJ). 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 Waxman'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 Waxman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.