Nicole Lauren Pesce, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018136-1 Issued in NY

Practice address

7014 13TH Ave Ste 202
Brooklyn, NY 11228-1604

Phone

(833) 447-2775

NPI assigned

Oct 29, 2014

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 23, 2024 through Oct 23, 2026

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

82.1

Promoting interoperability

100

Improvement activities

40

Cost

72.34

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: coastalmdintegrativehealthandwellness.nicolepesce@155472.advancedmd-direct.com

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.

• Parsley Medical PLLC

  dba Parsley Health

  • General Practice Physician
  • New York, NY
  • NPI 1962074435
  NPD (past)
• Parsley Medical Group FL PA

  • General Practice Physician
  • Orlando, FL
  • NPI 1437722436
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1164827341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GROVE ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 13TH AVE STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281604",
            "telephone_number": "833-447-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 S Semoran Blvd Ste 36",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221782",
            "country_code": "US",
            "telephone_number": "833-447-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESCE",
        "first_name": "NICOLE",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pesach Tikvah/Door of Hope
• Lea Pesach-Gliksman, SLP
• Chava Pesach, MS
• Ronit Pesachobiz
• Lawrence Pesce, R.T.
• Emil Pesin
• Josh Pesin
• Olga Peskovskaia, MS, SLP
• Gene R Pesola, MD
• Marjaorie Pessin, LMSW

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.