Individual provider Active NPI

Nicole Shanice Francis, FNP-C

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1306574504
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349621 Issued in NY
Practice address
118 Simonson PL
Staten Island, NY 10302-1816
Phone
(980) 422-6990
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349621 NY Primary

Addresses

Primary practice location

118 Simonson PL
Staten Island, NY 10302-1816

Mailing address

118 Simonson PL
Staten Island, NY 10302-1816

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nicole.francis2@my.liu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221205002434 NY Practitioner - Nurse Practitioner 2365811866 Reassigns benefits to 2 organizations
I20240702000046 NJ Practitioner - Nurse Practitioner 2365811866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Specialty Infusion of NJ PCGroup PAC ID 2860881554, 5 clinicians
Infusion Care Providers of AmericaGroup PAC ID 4385019090, 5 clinicians
Civic Medicine, PLLCGroup PAC ID 0345660254, 9 clinicians
Nyc Medical Infusion PCGroup PAC ID 3678834157, 12 clinicians

Practice addresses (Care Compare)

116 Millburn Ave
Suite 108
Millburn, NJ 07041-1919
Phone 2122498202302

1800 Chapel Ave W
Suite 303 Icpa Cherry Hill
Cherry Hill, NJ 08002-4605
Phone (856) 554-0500

400 Columbus Ave
Suite 105S
Valhalla, NY 10595-1368
Phone (203) 883-0038

78 Todt Hill Rd
Suite 110
Staten Island, NY 10314-4528
Phone (212) 776-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
349621NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Infusion of NJ PC CurrentSince Apr 14, 2024 Accepting new patients
Infusion Care Providers of America CurrentSince Apr 14, 2024 Accepting new patients
Nyc Medical Infusion PC CurrentSince Nov 2, 2022 Accepting new patients
Civic Medicine, PLLC CurrentSince Oct 7, 2023 Accepting new patients
Civic Wilton, PLLC PastSince Oct 7, 2023 Accepting new patients
Specialty Ic Mass LLC PastSince Mar 12, 2023 Accepting new patients

Locations

1726 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 384-4064

1800 Chapel Ave W
Ste 303
Cherry Hill, NJ 08002
Phone (610) 495-6800

116 Millburn Ave
Ste 108
Millburn, NJ 07041
Phone (212) 249-8202

120 N Route 17
Ste 200
Paramus, NJ 07652

100 Canal Pointe Blvd
Ste 112
Princeton, NJ 08540
Phone (609) 243-8711

1365 Washington Ave
Ste 102A
Albany, NY 12206
Phone (518) 453-9220

1646 Eastchester Rd
Bronx, NY 10461
Phone (212) 249-8202

26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502

1047 Surf Ave
Fl 2
Brooklyn, NY 11224
Phone (212) 249-8202

1047 Surf Ave
Ste 2
Brooklyn, NY 11224

546 Towne Dr
Fayetteville, NY 13066

279 Main St
Ste 103
New Paltz, NY 12561
Phone (845) 255-9700

1140 Broadway
New York, NY 10001
Phone (516) 941-6824

175 E 96th St
New York, NY 10128
Phone (212) 426-1970

5225 Nesconset Hwy
Ste 36
Port Jefferson Station, NY 11776
Phone (631) 928-4870

78 Todt Hill Rd
Ste 110
Staten Island, NY 10314
Phone (718) 227-5505

175 Jericho Tpke
Ste 312
Syosset, NY 11791
Phone (212) 246-3873

400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038

2 Westchester Park Dr
Ste 101A
White Plains, NY 10604

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1306574504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SIMONSON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SIMONSON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021816",
            "telephone_number": "980-422-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "NICOLE",
        "middle_name": "SHANICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nicole.francis2@my.liu.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "118 Simonson Pl",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103021816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.