NICOLAS PAULY NPP
NPI 1790192508
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, NY
About Nicolas Pauly Npp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLAS PAULY NPP (NPI 1790192508) is an individual psychiatric/mental health provider in Fayetteville, New York, licensed in New York (401735) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicolas Pauly Npp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Nicolas Pauly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 171 clinicians in this Medicare group
Syracuse, NY 13215
- Reassigned Medicare billing, New York enrollment
- 232 clinicians in this Medicare group
Camillus, NY 13031
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
Auburn, NY 13021
- Reassigned Medicare billing, New York enrollment
- 277 clinicians in this Medicare group
Auburn, NY 13021
- Reassigned Medicare billing, New York enrollment
- 249 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NY 13066
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 Nicolas Pauly's NPI number?
The NPI number for Nicolas Pauly is 1790192508. It was assigned to this individual provider in the NPPES registry on July 14, 2014.
Where is Nicolas Pauly located?
Nicolas Pauly practices at 6836 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 446-1435.
What is Nicolas Pauly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nicolas Pauly enrolled in Medicare?
Yes. Nicolas Pauly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicolas Pauly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Pauly reassigns Medicare benefits to 5 organizations: Psychiatry Faculty Practice, Inc. (Syracuse, NY), Upstate Community Medical, PC (Syracuse, NY), Psychiatric Np Consultants Of Central New York, PLLC (Camillus, NY), Auburn Community Hospital (Auburn, NY) and Auburn Memorial Medical Services, PC (Auburn, 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 Nicolas Pauly'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 Nicolas Pauly was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Nicolas Pauly, NPP · NPI 1790192508
Psychiatric/Mental Health physician in Fayetteville, New York. Individual provider, active in the CMS NPPES registry since July 14, 2014.
## Identity
- **NPI:** 1790192508 (Entity type: Individual)
- **Enumerated:** July 14, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 401735 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6836 E GENESEE ST, Fayetteville, NY 13066-1024
- **Phone:** (315) 446-1435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Psychiatry Faculty Practice, Inc. (NPI 1881084820, Syracuse, NY); Upstate Community Medical, PC (NPI 1689620163, Syracuse, NY); Psychiatric Np Consultants Of Central New York, PLLC (NPI 1255840682, Camillus, NY); Auburn Community Hospital (NPI 1902889215, Auburn, NY); Auburn Memorial Medical Services, PC (NPI 1194913749, Auburn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 14, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1790192508) · Data from the CMS NPPES public registry.