Nicole Hinderleider, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

340798 Issued in NY

Practice address

350 E 2ND St
Jamestown, NY 14701-5623

Phone

(716) 483-4373

Fax

(716) 661-4717

NPI assigned

Aug 28, 2016

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Chautauqua Center IncGroup PAC ID 7214178326, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521

  NY

  Medicare reassignment Care Compare group NPD
• The Chautauqua Center, Inc

  • Gynecology Physician
  • Elmira, NY
  • NPI 1326817693
  Care Compare group
• The Chautauqua Center, Inc

  • Community/Retail Pharmacy
  • Dunkirk, NY
  • NPI 1487360137
  Care Compare group
• The Chautauqua Center, Inc

  • Community/Retail Pharmacy
  • Jamestown, NY
  • NPI 1588270573
  Care Compare group
• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Olean, NY
  • NPI 1629869995
  Care Compare group
• The Chautauqua Center, Inc.

  • Community/Retail Pharmacy
  • South Dayton, NY
  • NPI 1376694224
  Care Compare group
• The Chautauqua Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Elmira, NY
  • NPI 1467245795
  Care Compare group
• Chautauqua County Chapter of Nysarc Inc

  • Multi-Specialty Clinic/Center
  • Jamestown, NY
  • NPI 1770972036
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1164978367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015623",
            "telephone_number": "716-969-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015623",
            "telephone_number": "716-483-4373",
            "fax_number": "716-661-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Institute St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147016628",
            "country_code": "US",
            "telephone_number": "176-484-4334",
            "fax_number": "833-974-2029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDERLEIDER",
        "first_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.hinderleider.1@22211.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Institute St",
            "city": "Jamestown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147016628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Jamestown, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.
• 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.