Individual provider Active NPI

Nicholas Tyler Zelie, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1437675329
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021272-01 Issued in NY
Practice address
10 Hagen Dr Ste 300
Rochester, NY 14625-2660
Phone
(585) 922-9770
NPI assigned
Aug 22, 2017
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 021272-01 NY Primary

Addresses

Primary practice location

10 Hagen Dr Ste 300
Rochester, NY 14625-2660

Mailing address

6 Valley View Cir
Victor, NY 14564-1274
Phone (716) 771-8438

Other practice location 1

4 Coulter Rd Ste 1630
Clifton Springs, NY 14432-1122
Phone (315) 462-1495

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170929000014 NY Practitioner - Physician Assistant 1557636685 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

4 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 906-4059

4535 Southwestern Blvd
Suite 202
Hamburg, NY 14075-1861
Phone (212) 283-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021272NYMDOccupational Therapist
021272-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 1, 2017 Accepting new patients
Rochester General Hospital CurrentSince Oct 1, 2017 Accepting new patients
Schweiger Dermatology PLLC CurrentSince Mar 1, 2026 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

4927 Main St
Ste 100
Amherst, NY 14226
Phone (716) 202-7275

401 S Main St
Canandaigua, NY 14424
Phone (585) 394-1875

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

4 Coulter Rd
Ste 1630
Clifton Springs, NY 14432
Phone (315) 462-1495

4535 Southwestern Blvd
Ste 202
Hamburg, NY 14075
Phone (607) 729-2777

10 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 922-9770

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

20 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 586-7550

Interoperability endpoints

  • Direct secure messaging: nzelie223066@direct.rochesterregional.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1437675329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VALLEY VIEW CIR",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641274",
            "telephone_number": "716-771-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HAGEN DR STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252660",
            "telephone_number": "585-922-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Coulter Rd Ste 1630",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELIE",
        "first_name": "NICHOLAS",
        "middle_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021272-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.