NICHOLAS JOHN ANDERJACK PA-C
NPI 1861152589
Physician Assistant in Rochester, NY

Q: What is Nicholas Anderjack's NPI number?

The NPI number for Nicholas Anderjack is 1861152589. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Q: What is Nicholas Anderjack's specialty?

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

Active since December 21, 2021PECOS EnrolledAccepts Medicare Assignment

1160 CHILI AVE, ROCHESTER, NY 14624(585) 426-4990 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas John Anderjack Pa-c NPPES

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

NICHOLAS JOHN ANDERJACK PA-C (NPI 1861152589) is an individual physician assistant in Rochester, New York, licensed in New York (027653-01) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and maintains a secondary practice location in Wellsville.

NPPES Registry Identity

NPI1861152589

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNICHOLAS JOHN ANDERJACKCredential: PA-C

Location Address1160 CHILI AVERochester, NY 14624-3035

Mailing Address1107 Greenlawn DrPittsburgh, PA 15220-3103 · (412) 443-7405

Phone(585) 426-4990

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 21, 2021

NPPES CertifiedOctober 13, 2021

✔ NPI 1861152589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NY · 027653-01✔ Licensed in PA · MA062858✔ Licensed in PA · OA005933

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.

1160 CHILI AVE, Rochester, NY 14624

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Secondary Practice Location 1

Location 1191 N Main StWellsville, NY 14895-1150 · Phone (585) 593-1100

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

Nicholas John Anderjack Pa-c 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 ID3375938525

PECOS Enrollment IDI20240227003491

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 3

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.

288 services276 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

14 services11 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290019

Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County

Emergency services Birthing friendly

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291306

Location1107 Highway 395Gardnerville, NV 89410 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14624 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 16

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

ANNE BENNETT FNP

Nurse Practitioner (Family)

1160 CHILI AVE
ROCHESTER, NY 14624

Monroe County (585) 235-1514

THOMAS FRANCIS MYDOSH M.D.

Internal Medicine

1160 CHILI AVE, STE 102
ROCHESTER, NY 14624

Monroe County (585) 235-2890

WORKFIT MEDICAL, LLC

Clinic/Center (Occupational Medicine)

1160 CHILI AVE, SUITE 200
ROCHESTER, NY 14624

Monroe County (585) 426-4990

MONROE RADIOLOGICAL ASSOCIATES PC

Radiology (Diagnostic Radiology)

1160 CHILI AVE, SUITE 120
ROCHESTER, NY 14624

Monroe County (585) 436-5225

SANDEEP KAUR PA

Physician Assistant

1160 CHILI AVE
ROCHESTER, NY 14624

Monroe County (585) 500-4814

DELPHI PHYSICIANS GROUP, PLLC

Anesthesiology

1160 CHILI AVE
ROCHESTER, NY 14624

Monroe County (585) 500-4814

DR. JARED JOSEPH ANDERSON D.C.

Chiropractor

1160 CHILI AVE, SUITE 100
ROCHESTER, NY 14624

Monroe County (585) 334-5560

LOCUM TENENS MEDICAL PARTNERS, PLLC

Anesthesiology (Critical Care Medicine)

1160 CHILI AVE
ROCHESTER, NY 14624

Monroe County (585) 500-4814

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 Nicholas Anderjack's NPI number?

The NPI number for Nicholas Anderjack is 1861152589. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Where is Nicholas Anderjack located?

Nicholas Anderjack practices at 1160 Chili Ave, Rochester, NY 14624. The listed phone number is (585) 426-4990.

What is Nicholas Anderjack's specialty?

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

Is Nicholas Anderjack enrolled in Medicare?

Yes. Nicholas Anderjack 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 Nicholas Anderjack affiliated with any hospitals?

According to CMS data, Nicholas Anderjack is affiliated with Carson Tahoe Regional Medical Center and Carson Valley Health.

When was this NPI record last updated?

The NPPES record for Nicholas Anderjack was last updated on December 21, 2021. 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.