Irisi Nikolla, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000000 Issued in NY

Practice address

129 Seneca St
Staten Island, NY 10310-2333

Phone

(347) 216-7632

NPI assigned

Nov 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Irisi Papapavllo-Nikolla Former name

Medicare fee-for-service enrollment

Enrolled in CA

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: irisi.nikolla@682114225012740.direct.elationemr.com
• Direct secure messaging: irisi.nikolla.1@3342.direct.athenahealth.com

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.

• Pair Team Medical Group of California PC

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1134838352
  Medicare reassignment NPD
• Pair Team Medical Group, P.a.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1659132553
  Medicare reassignment NPD

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1184968430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 OVINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091701",
            "telephone_number": "347-216-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SENECA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102333",
            "telephone_number": "347-216-7632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Bay Ridge Pkwy",
            "address_2": "Apt#2F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112045719",
            "country_code": "US",
            "telephone_number": "347-216-7632",
            "fax_number": "718-745-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOLLA",
        "first_name": "IRISI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2023-09-05",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "664266",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRISI",
            "last_name": "PAPAPAVLLO-NIKOLLA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darlene Nigro-Bruzzi, PH.D., BCBA-D
• Nika Medical, P.C.
• Danielle Nikezic, FNP
• Amina Nikocevic, LMHC
• Marianna Nikolenko, FNP
• Naile Nikovic, FNP
• Elsie Nilsen
• Ninamarie Lucchini, LLC
• Vadde Nirmala, MD
• Aqsa Nisar, M.B.B.S.

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.