Nicole Mitstifer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

319535-01 Issued in NY

Practice address

159 Wolf Rd Ste 105
Albany, NY 12205-6008

Phone

(518) 437-0152

NPI assigned

Apr 18, 2026

Last updated

Apr 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maxim of New York, LLC

  dba Maxim Healthcare Services

  • Home Health Agency
  • Rochester, NY
  • NPI 1265543706
  NPD (past)

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1538003553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WOLF RD STE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122056008",
            "telephone_number": "518-437-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSTIFER",
        "first_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319535-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Mitchell, CNM
• Alphonso Mitchum, LCSW
• Melissa E Mitkoff, NP
• Nathan Bernard Mitkoff, M.D.
• Neil Mitnick
• Srinivas R Mitta
• Rosemary L Mix, CCC-SLP
• Karen Mixson
• Mme Pirie
• Jae Hyun Mo, M.D.

• Licensed Practical Nurse in Albany, NY
• Providers in Albany, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.