NICOLE J GADEN P.A.
NPI 1790085264
Physician Assistant - Medical in Rochester, NY

Q: What is Nicole Gaden's NPI number?

The NPI number for Nicole Gaden is 1790085264. It was assigned to this individual provider in the NPPES registry on October 29, 2010. The provider is also known as Nicole J Mimken PA.

Q: What is Nicole Gaden's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Gaden was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 29, 2010PECOS Enrolled

95.19/100

CMS Quality Rating

3379 CHILI AVE STE 100, ROCHESTER, NY 14624(585) 889-0750(585) 889-0750 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Sep 28, 2022, Sep 26, 2018 and 1 more (4 updates tracked since 2016).

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About Nicole J Gaden P.a. NPPES

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

NICOLE J GADEN P.A. (NPI 1790085264) is an individual medical provider in Rochester, New York, licensed in New York (022054) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1790085264

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE J GADENCredential: P.A.

Location Address3379 CHILI AVE STE 100Rochester, NY 14624

Mailing Address3379 Chili Ave Ste 100Rochester, NY 14624-5325 · (585) 889-0750 · Fax (585) 889-0750

Phone(585) 889-0750

Fax(585) 889-0750

Sole ProprietorNo

Enumeration DateOctober 29, 2010

Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration

NPPES CertifiedNovember 6, 2023

✔ NPI 1790085264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 022054

3379 CHILI AVE STE 100, Rochester, NY 14624

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Other Names 1

Former Name (1)Nicole J Mimken Pa

Secondary Practice Location 1

Location 1163 Gore StCambridge, MA 02141-1119 · Phone (617) 665-3000 · Fax (617) 665-3099

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 J Gaden P.a. 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

MEGAN E BETTELEY WANG M.D.

Family Medicine