Individual provider Active NPI

Nicholas Pikarsky, FNP-C

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1124502810
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343512 Issued in NY
Practice address
109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152
Phone
(864) 885-0058
Fax
(864) 885-0098
NPI assigned
Sep 19, 2018
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 343512 NY
Family Nurse Practitioner 363LF0000X 343512 NY Primary

Addresses

Primary practice location

109 Carter Park Dr Ste 3a
Seneca, SC 29678-1152

Mailing address

5794 Widewaters Pkwy
Syracuse, NY 13214-1845
Phone (315) 422-1513

Other practice location 1

5794 Widewaters Pkwy
Syracuse, NY 13214-1845
Phone (315) 422-1513

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.pikarskyfnpc.p1@direct.ahasyr.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629001098 SC Practitioner - Nurse Practitioner 7911242508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keowee Primary Care and Internal Medicine PCGroup PAC ID 2860472743, 11 clinicians

Practice addresses (Care Compare)

109 Carter Park Dr
3A
Seneca, SC 29678-1152
Phone (864) 885-0058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
343512NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keowee Primary Care & Internal Medicine PC CurrentSince Mar 22, 2022 Accepting new patients
Medi Urgent Care Center Inc PastSince Mar 26, 2023 Accepting new patients
Arthritis Health Associates, PLLC Rheumatology PastSince Jun 1, 1998 Accepting new patients

Locations

109 Carter Park Dr
#3A
Seneca, SC 29678
Phone (864) 885-0058

109 Carter Park Dr
Ste 3A
Seneca, SC 29678
Phone (864) 882-1420

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1124502810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5794 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141845",
            "telephone_number": "315-422-1513",
            "fax_number": "315-422-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARTER PARK DR STE 3A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781152",
            "telephone_number": "864-885-0058",
            "fax_number": "864-885-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5794 Widewaters Pkwy",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132141845",
            "country_code": "US",
            "telephone_number": "315-422-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIKARSKY",
        "first_name": "NICHOLAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "343512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.pikarskyfnpc.p1@direct.ahasyr.nextgenshare.com",
            "affiliation": "N",
            "address_1": "5794 Widewaters Pkwy",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132141845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.