NICOLE RAFFLOER RPA-C
NPI 1972924223
Physician Assistant in New Hyde Park, NY

Active since January 03, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1991 MARCUS AVE, 2ND FLOOR, NEW HYDE PARK, NY 11042(516) 354-1600(516) 941-4677 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2019, Mar 17, 2018, Nov 10, 2017 (3 updates tracked since 2017).

About Nicole Raffloer Rpa-c NPPES

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

NICOLE RAFFLOER RPA-C (NPI 1972924223) is an individual physician assistant in New Hyde Park, New York, licensed in New York (016637-1) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972924223
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE RAFFLOERCredential: RPA-C
Location Address1991 MARCUS AVE, 2ND FLOORNew Hyde Park, NY 11042
Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Fax(516) 941-4677
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 3, 2014
Last NPPES UpdateSeptember 25, 20193 updates tracked since enumeration
NPI 1972924223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 016637-1
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.
1991 MARCUS AVE, New Hyde Park, NY 11042

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 Raffloer Rpa-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 ID1850670696
PECOS Enrollment IDI20161117002220
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Physical Therapist
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Pediatrics (Pediatric Rheumatology)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Social Worker
1991 MARCUS AVE, M201
NEW HYDE PARK, NY 11042
Nurse Practitioner (Adult Health)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Student in an Organized Health Care Education/Training Program
1991 MARCUS AVE, M100
LAKE SUCCESS, NY 11042
Internal Medicine
1991 MARCUS AVE
NEW HYDE PARK, NY 11042

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 Raffloer's NPI number?

The NPI number for Nicole Raffloer is 1972924223. It was assigned to this individual provider in the NPPES registry on January 3, 2014.

Where is Nicole Raffloer located?

Nicole Raffloer practices at 1991 Marcus Ave 2nd Floor, New Hyde Park, NY 11042. The listed phone number is (516) 354-1600.

What is Nicole Raffloer's specialty?

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

Is Nicole Raffloer enrolled in Medicare?

Yes. Nicole Raffloer 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 Raffloer was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.