NICOLE MARIE BASSOUNAS CRNP, FNP-C
NPI 1972197069
Nurse Practitioner - Family in Philadelphia, PA

Active since March 01, 2021PECOS EnrolledAccepts Medicare Assignment
925 CHESTNUT ST STE 220A, PHILADELPHIA, PA 19107(215) 955-8874 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Marie Bassounas Crnp, Fnp-c NPPES

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

NICOLE MARIE BASSOUNAS CRNP, FNP-C (NPI 1972197069) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP023004) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972197069
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE BASSOUNASCredential: CRNP, FNP-C
Location Address925 CHESTNUT ST STE 220APhiladelphia, PA 19107-4248
Mailing Address1527 Pine St Apt 3fPhiladelphia, PA 19102-4643 · (717) 649-3255
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
NPI 1972197069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP023004
925 CHESTNUT ST STE 220A, Philadelphia, PA 19107

Accepted Insurance

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 Marie Bassounas Crnp, Fnp-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 ID6406265065
PECOS Enrollment IDI20210511002552
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.

Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
28 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bassounas's NPI number?

The NPI number for Nicole Bassounas is 1972197069. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Nicole Bassounas located?

Nicole Bassounas practices at 925 Chestnut St Ste 220A, Philadelphia, PA 19107. The listed phone number is (215) 955-8874.

What is Nicole Bassounas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Bassounas enrolled in Medicare?

Yes. Nicole Bassounas 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.

What insurance does Nicole Bassounas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicole Bassounas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Bassounas was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.