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NICOLE ROSE CICCIA
NPI 1912413139
Physician Assistant - Surgical in New Haven, CT

Active since December 26, 2017PECOS EnrolledAccepts Medicare Assignment
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2021, Feb 7, 2020, Dec 26, 2017 (3 updates tracked since 2017).

About Nicole Rose Ciccia NPPES

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

NICOLE ROSE CICCIA (NPI 1912413139) is an individual surgical provider in New Haven, Connecticut, licensed in Connecticut (4036) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912413139
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE ROSE CICCIA
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address71 Joy Rd Apt CMilford, CT 06460-6052
Phone(203) 688-4242
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 26, 2017
Last NPPES UpdateNovember 23, 20213 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
✔ NPI 1912413139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 4036
20 YORK ST, New Haven, CT 06510
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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 and accepts Medicare assignment

Nicole Rose Ciccia 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 ID446513626
PECOS Enrollment IDI20180423001137
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.

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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Ciccia's NPI number?

The NPI number for Nicole Ciccia is 1912413139. It was assigned to this individual provider in the NPPES registry on December 26, 2017.

Where is Nicole Ciccia located?

Nicole Ciccia practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Nicole Ciccia's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Ciccia enrolled in Medicare?

Yes. Nicole Ciccia 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.

When was this NPI record last updated?

The NPPES record for Nicole Ciccia was last updated on November 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.