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NICOLE EVANS PAC
NPI 1942430095
Physician Assistant - Medical in Rochester, NY

Active since July 23, 2009
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7075 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Evans Pac NPPES

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

NICOLE EVANS PAC (NPI 1942430095) is an individual medical provider in Rochester, New York, licensed in New York (013642) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1942430095
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE EVANSCredential: PAC
Location Address1555 LONG POND RDRochester, NY 14626-4122
Mailing Address1555 Long Pond RdRochester, NY 14626-4122 · (585) 723-7075
Phone(585) 723-7075
Sole ProprietorNo
Enumeration DateJuly 23, 2009
Last NPPES UpdateDecember 6, 2018
✔ NPI 1942430095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 013642
1555 LONG POND RD, Rochester, NY 14626
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Other Identifiers 1

Medicaid03252004NY

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070

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 Evans's NPI number?

The NPI number for Nicole Evans is 1942430095. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Nicole Evans located?

Nicole Evans practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7075.

What is Nicole Evans's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicole Evans was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.