Individual provider Active NPI

Nicole Dionne McPherson, NP

  • Adult Health Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1487206181
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0648342 Issued in NY
Practice address
2 Park Avenue
Yonkers, NY 10703-2886
Phone
(914) 964-7862
Fax
(845) 765-9396
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0648342 NY Primary

Addresses

Primary practice location

2 Park Avenue
Yonkers, NY 10703-2886

Mailing address

2 Park Avenue
Yonkers, NY 10703
Phone (914) 964-7862

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
I20191023003227 NY Practitioner - Nurse Practitioner 1052643038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Beacon Health Medical PCGroup PAC ID 1658804760, 36 clinicians
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

17 W 9TH St
Brooklyn, NY 11231-2501
Phone (718) 599-9090

445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0648342NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Aug 1, 2024 Accepting new patients
Sun River Health Inc. CurrentSince Oct 9, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Aug 1, 2024 Accepting new patients
Sun River Health Inc Current Accepting new patients
Beacon Health Medical PC CurrentSince Oct 1, 2024 Accepting new patients
Rockwell Health LLC Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1487206181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK AVENUE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-964-7862",
            "fax_number": "845-765-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVENUE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032886",
            "telephone_number": "914-964-7862",
            "fax_number": "845-765-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "NICOLE",
        "middle_name": "DIONNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "0648342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.