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NICOLE EISBROUCH PA-C
NPI 1861153009
Physician Assistant in New York, NY

Active since January 09, 2022PECOS Enrolled
304 E 65TH ST, NEW YORK, NY 10065(201) 841-8033 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Eisbrouch Pa-c NPPES

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

NICOLE EISBROUCH PA-C (NPI 1861153009) is an individual physician assistant in New York, New York and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861153009
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE EISBROUCHCredential: PA-C
Location Address304 E 65TH STNew York, NY 10065-6797
Mailing Address304 E 65th StNew York, NY 10065-6797 · (201) 841-8033
Phone(201) 841-8033
Sole ProprietorYes
Enumeration DateJanuary 9, 2022
NPPES CertifiedJanuary 9, 2022
✔ NPI 1861153009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
304 E 65TH ST, New York, NY 10065
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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 Eisbrouch Pa-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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 3

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

MISS MICHELLE CAREN KORNBERG MA
Speech-Language Pathologist
304 E 65TH ST
NEW YORK, NY 10065
New York County (646) 522-4313
CAROL FRANCINE WEINER
Social Worker (Clinical)
304 E 65TH ST, LL1
NEW YORK, NY 10065
New York County (212) 249-3884
DR. JOHN OMID NIKKAH PH.D.
Psychologist
304 E 65TH ST, APT# 27B
NEW YORK, NY 10065
New York County (917) 301-1870

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 Eisbrouch's NPI number?

The NPI number for Nicole Eisbrouch is 1861153009. It was assigned to this individual provider in the NPPES registry on January 9, 2022.

Where is Nicole Eisbrouch located?

Nicole Eisbrouch practices at 304 E 65th St, New York, NY 10065. The listed phone number is (201) 841-8033.

What is Nicole Eisbrouch's specialty?

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

Is Nicole Eisbrouch enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Eisbrouch was last updated on January 9, 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.