Individual provider Active NPI

Nickolas Charles Trogdon, FNP

  • Family Nurse Practitioner
  • Dunkirk, NY
National Provider Identifier
1508610148
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
108418 Issued in WV
Practice address
609 Central Ave
Dunkirk, NY 14048-2538
Phone
(716) 650-5720
Fax
(716) 650-4618
NPI assigned
Apr 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 358345 NY
Family Nurse Practitioner 363LF0000X 108418 WV Primary

Addresses

Primary practice location

609 Central Ave
Dunkirk, NY 14048-2538

Mailing address

609 Central Ave
Dunkirk, NY 14048-2538
Phone (716) 650-5720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.trogdon@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NY2 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
I20241211002363 WV Practitioner - Nurse Practitioner 6608302880 Reassigns benefits to 1 organization
I20251210000374 NY Practitioner - Nurse Practitioner 6608302880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Near Me Dermatology PLLCGroup PAC ID 5799177747, 4 clinicians

Practice addresses (Care Compare)

609 Central Ave
Dunkirk, NY 14048-2538
Phone (716) 650-5720

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
358345NYMDDermatology Physician
108418WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Near Me Dermatology PLLC Dermatology CurrentSince Nov 21, 2025 Accepting new patients

Locations

5210 Linton Blvd
Ste 307
Delray Beach, FL 33484
Phone (561) 499-0660

112 W Main St
Allegany, NY 14706
Phone (716) 373-0700

609 Central Ave
Dunkirk, NY 14048
Phone (716) 363-6960

Interoperability endpoints

  • Direct secure messaging: nicholas.trogdon@marshall.cernerdirect.com

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 1

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1508610148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482538",
            "telephone_number": "716-650-5720",
            "fax_number": "716-650-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482538",
            "telephone_number": "716-650-5720",
            "fax_number": "716-650-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROGDON",
        "first_name": "NICKOLAS",
        "middle_name": "CHARLES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-11",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "358345",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "108418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.trogdon@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th Street",
            "address_2": "Suite 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.