NICOLE FAME DERBY PA-C
NPI 1992428817
Physician Assistant in Albany, NY

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
1367 WASHINGTON AVE STE 200, ALBANY, NY 12206(518) 489-2666 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Fame Derby Pa-c NPPES

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

NICOLE FAME DERBY PA-C (NPI 1992428817) is an individual physician assistant in Albany, New York and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992428817
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE FAME DERBYCredential: PA-C
Location Address1367 WASHINGTON AVE STE 200Albany, NY 12206-1048
Mailing Address1367 Washington Ave Ste 200Albany, NY 12206-1048 · (518) 489-2666 · Fax (518) 489-5933
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 9, 2022
NPI 1992428817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1367 WASHINGTON AVE STE 200, Albany, NY 12206

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 Fame Derby Pa-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 ID9931579653
PECOS Enrollment IDI20240611003803
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 12206 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.01
Promoting Interoperability100
Improvement Activities40
Cost86.68

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.

Orthopaedic Surgery
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Nurse Practitioner (Family)
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Physician Assistant (Surgical)
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Orthopaedic Surgery
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Family Medicine
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Physician Assistant
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Physician Assistant
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206
Orthopaedic Surgery
1367 WASHINGTON AVE STE 200
ALBANY, NY 12206

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 Derby's NPI number?

The NPI number for Nicole Derby is 1992428817. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Nicole Derby located?

Nicole Derby practices at 1367 Washington Ave Ste 200, Albany, NY 12206. The listed phone number is (518) 489-2666.

What is Nicole Derby's specialty?

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

Is Nicole Derby enrolled in Medicare?

Yes. Nicole Derby 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 Derby was last updated on September 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.