Individual provider Active NPI

Nicole Bari Michaels, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1518505767
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309471 Issued in NY
Practice address
425 E 61St St FL 8
New York, NY 10065-8722
Phone
(646) 962-6500
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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 309471 NY Primary

Addresses

Primary practice location

425 E 61St St FL 8
New York, NY 10065-8722

Mailing address

425 E 61St St FL 8
New York, NY 10065-8722
Phone (646) 962-6500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nmichaels83331@nyumc.direct-ci.com
Direct Messaging Address nmichaels83331@nyumc.direct-ci.com

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
I20200203000897 NY Practitioner - Nurse Practitioner 0547696908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

425 E 61St St
New York, NY 10065-8722
Phone (212) 821-0857

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309471NYMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 16, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 31, 2021 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 31, 2021 Accepting new patients
Endocrine Associate of West Village PC CurrentSince Jan 1, 2021 Accepting new patients
New York University CurrentSince Feb 16, 2020 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

222 Station Plz N
Mineola, NY 11501
Phone (516) 663-1111

425 E 61st St
Fl 8
New York, NY 10065
Phone (646) 962-2065

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

425 E 61st St
New York, NY 10065
Phone (212) 752-2000

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

222 E 41st St
Fl 11
New York, NY 10017
Phone (646) 825-6300

222 E 41st St
New York, NY 10017
Phone (212) 263-2573

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Organizations & group practices 7

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 5

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1518505767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658722",
            "telephone_number": "646-962-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658722",
            "telephone_number": "646-962-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "NICOLE",
        "middle_name": "BARI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmichaels83331@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "222 Station Plz N",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115013800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmichaels83331@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "222 E 41st St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.