NICHOLE S SUPPLE DO
NPI 1871805341
Emergency Medicine in Rochester, NY
About Nichole S Supple Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE S SUPPLE DO (NPI 1871805341) is an individual emergency medicine provider in Rochester, New York, licensed in New York (274423) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nichole S Supple Do 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.
Medicare Billing Reassignments
9Medicare enrollment records show Nichole Supple reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 203 clinicians in this Medicare group
Rochester, NY 14624
- Reassigned Medicare billing, New York enrollment
- 185 clinicians in this Medicare group
Newark, NY 14513
- Reassigned Medicare billing, New York enrollment
- 679 clinicians in this Medicare group
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 129 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Emergency Care Services Of New York PC
- 240 clinicians in this Medicare group
Norwich, NY 13815
- Reassigned Medicare billing, New York enrollment
- 204 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 356 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chenango Memorial Hospital
Acute Care Hospitals · Norwich, NYOneida Health Hospital
Acute Care Hospitals · Oneida, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nichole Supple's NPI number?
The NPI number for Nichole Supple is 1871805341. It was assigned to this individual provider in the NPPES registry on July 13, 2010. The provider is also known as Nichole S Dehollander Do.
Where is Nichole Supple located?
Nichole Supple practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4000.
What is Nichole Supple's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nichole Supple enrolled in Medicare?
Yes. Nichole Supple 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.
Which organizations bill Medicare for Nichole Supple's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Supple reassigns Medicare benefits to 9 organizations: Rochester General Hospital (Rochester, NY), Delphi Healthcare PLLC (Rochester, NY), Delphi Hospitalist Services LLC (Rochester, NY), Newark Wayne Community Hospital (Newark, NY), Port City Emergency Physicians LLP (Oswego, NY) and 4 more organizations, listed in the Medicare section above. 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 Nichole Supple's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nichole Supple affiliated with any hospitals?
According to CMS data, Nichole Supple is affiliated with Chenango Memorial Hospital and Oneida Health Hospital.
When was this NPI record last updated?
The NPPES record for Nichole Supple was last updated on October 3, 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.
# Nichole S Supple, DO · NPI 1871805341
Emergency Medicine physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since July 13, 2010.
## Identity
- **NPI:** 1871805341 (Entity type: Individual)
- **Enumerated:** July 13, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 274423 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, Rochester, NY 14621-3001
- **Phone:** (585) 922-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Rochester General Hospital (NPI 1063531929, Rochester, NY); Delphi Healthcare PLLC (NPI 1003075029, Rochester, NY); Delphi Hospitalist Services LLC (NPI 1922270420, Rochester, NY); Newark Wayne Community Hospital (NPI 1346369212, Newark, NY); Port City Emergency Physicians LLP (NPI 1134370547, Oswego, NY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 3, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1871805341) · Data from the CMS NPPES public registry.