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NICOLE PELAN FNP
NPI 1790396919
Nurse Practitioner - Family in Great Neck, NY

Active since August 11, 2020PECOS Enrolled
1000 NORTHERN BLVD STE 360, GREAT NECK, NY 11021(516) 829-6660 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Pelan Fnp NPPES

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

NICOLE PELAN FNP (NPI 1790396919) is an individual family provider in Great Neck, New York, licensed in New York (344115) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790396919
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE PELANCredential: FNP
Location Address1000 NORTHERN BLVD STE 360Great Neck, NY 11021-5312
Mailing Address3886 Keily DrSeaford, NY 11783-2004 · (516) 729-8503
Phone(516) 829-6660
Sole ProprietorYes
Enumeration DateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1790396919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 344115
1000 NORTHERN BLVD STE 360, Great Neck, NY 11021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Pelan Fnp 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 Pelan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthy Heart Cardiology, P.C.
Same address
Specialist
1000 NORTHERN BLVD STE 360
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Healthy Heart Cardiology PC
  • 5 clinicians in this Medicare group
NPI 1124434618 (516) 829-6660

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 11021 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 3

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

DR. NIR N SOMEKH M.D.
Internal Medicine (Cardiovascular Disease)
1000 NORTHERN BLVD STE 360
GREAT NECK, NY 11021
Nassau County (516) 829-6660
HEALTHY HEART CARDIOLOGY, P.C.
Specialist
1000 NORTHERN BLVD STE 360
GREAT NECK, NY 11021
Nassau County (516) 829-6660
FATMA ELIAS ISSA
Nurse Practitioner (Adult Health)
1000 NORTHERN BLVD STE 360
GREAT NECK, NY 11021
Nassau County (516) 829-6660

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 Pelan's NPI number?

The NPI number for Nicole Pelan is 1790396919. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Nicole Pelan located?

Nicole Pelan practices at 1000 Northern Blvd Ste 360, Great Neck, NY 11021. The listed phone number is (516) 829-6660.

What is Nicole Pelan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Pelan enrolled in Medicare?

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

Which organization bills Medicare for Nicole Pelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pelan reassigns Medicare benefits to Healthy Heart Cardiology, P.C. (Great Neck, NY). 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 Pelan'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 Pelan was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.