Individual provider Active NPI

Nicole Kristen Perry, M.D.

  • Pediatric Cardiology Physician
  • Nashville, TN
National Provider Identifier
1053758516
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
284114 Issued in NY
Practice address
330 23Rd Ave N Ste 550
Nashville, TN 37203-1706
Phone
(615) 321-8549
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 59828 TN
Pediatrics Physician 208000000X 284114 NY
Pediatric Cardiology Physician 2080P0202X 284114 NY Primary

Addresses

Primary practice location

330 23Rd Ave N Ste 550
Nashville, TN 37203-1706

Mailing address

330 23Rd Ave N Ste 550
Nashville, TN 37203-1706
Phone (615) 321-8549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230510002119 NY Practitioner - Pediatric Medicine 7214332113 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Drexel University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

400 E 34TH St
New York, NY 10016-4901
Phone (212) 263-7300

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatrics CurrentSince Jul 10, 2023 Accepting new patients
NYU Langone Hospitals CurrentSince Aug 2, 2023 Accepting new patients
MMC Pediatrics Faculty Practice Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
NYU Langone Hospitals CurrentSince Aug 2, 2023 Accepting new patients
New York University CurrentSince Jul 10, 2023 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2023 Accepting new patients
MMC Pediatric Neurology FPP Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
#9
Brooklyn, NY 11204

6010 Bay Pkwy
Fl 9
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Ste 9
Brooklyn, NY 11204
Phone (718) 283-7500

4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: nicole.perry.p1@direct.mmc.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1053758516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 550",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031706",
            "telephone_number": "615-321-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 550",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031706",
            "telephone_number": "615-321-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NICOLE",
        "middle_name": "KRISTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TN",
            "license": "59828",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "284114",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "284114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.