Individual provider Active NPI

Nicole Alyse Baumeister, PA-C

  • Surgical Physician Assistant
  • Morristown, NJ
National Provider Identifier
1316411713
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00625200 Issued in NJ
Practice address
65 Madison Ave FL 5
Morristown, NJ 07960-7354
Phone
(973) 540-9700
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00625200 NJ Primary
Medical Physician Assistant 363AM0700X 25MP00625200 NJ

Addresses

Primary practice location

65 Madison Ave FL 5
Morristown, NJ 07960-7354

Mailing address

65 Madison Ave FL 5
Morristown, NJ 07960-7354
Phone (973) 540-9700

Other practice location 1

261 James St Ste 1A3A3D2G
Morristown, NJ 07960-6392
Phone (973) 539-0333

Other names 1

  • Nicole Alyse Zbiciak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20211122000968 NJ Practitioner - Physician Assistant 3274872114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 931-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00625200NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Hospital Corp Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1316411713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MADISON AVE FL 5",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607354",
            "telephone_number": "973-540-9700",
            "fax_number": "973-540-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MADISON AVE FL 5",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607354",
            "telephone_number": "973-540-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 James St Ste 1A3A3D2G",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606392",
            "country_code": "US",
            "telephone_number": "973-539-0333",
            "fax_number": "973-538-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMEISTER",
        "first_name": "NICOLE",
        "middle_name": "ALYSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00625200",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00625200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ZBICIAK",
            "middle_name": "ALYSE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.