Nicole Paul, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346346 Issued in NY

Practice address

454 E Broad St Ste 100
Rochester, NY 14607-1724

Phone

(585) 276-7640

Fax

(585) 325-4255

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA2 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

Specialty

Nurse Practitioner

Education

State University of New York at Buffalo School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Memorial Hospital of William F and Gertrude F Jones IncGroup PAC ID 7012828486, shared by 8 NPIs, 130 clinicians

Edward M Kennedy Community Health Center IncGroup PAC ID 3476512740, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St James Hospital Hospital, Hornell, NY, CCN 330151
• Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
• Milford Regional Medical Center Hospital, Milford, MA, CCN 220090

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: nicole.paul.p4@direct.usppny.nextgenshare.com

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.

• Edward M. Kennedy Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Worcester, MA
  • NPI 1609842152
  Medicare reassignment Care Compare group
• Planned Parenthood of Central and Western New York, Inc

  • Ambulatory Family Planning Facility
  • Rochester, NY
  • NPI 1306909957
  Medicare reassignment NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Medicare reassignment NPD
• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824
  Medicare reassignment NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • Rural Health Clinic/Center
  • Hornell, NY
  • NPI 1457974644
  NPD
• University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • Rural Health Clinic/Center
  • Bolivar, NY
  • NPI 1477176667
  NPD (past)
• Edward M. Kennedy Community Health Center, Inc

  • Clinic Pharmacy
  • Worcester, MA
  • NPI 1013048347
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Care Compare affiliation
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Care Compare affiliation
• Umass Memorial Health-Milford Regional Medical Center Inc

  • General Acute Care Hospital
  • Milford, MA
  • NPI 1477527497
  Care Compare affiliation

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1649871500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E BROAD ST STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071724",
            "telephone_number": "585-276-7640",
            "fax_number": "585-325-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E BROAD ST STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071724",
            "telephone_number": "585-276-7640",
            "fax_number": "585-325-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "649982",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Paul, MD
• Debra Sue Paul, ANP - BC, GNP
• Jenna R Paul
• Jennifer H Paul, MD
• Kerrith M. Paul, LPN
• Paula Lee Paul, LMSW
• Pradipta Paul, MD
• Rebecca Rose Paul
• Trisha Karena Paul, MD
• Johan Pauley, D.O.

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.