NPIMap

Individual provider Active NPI

Nicole D Martinelli, RPA-C

  • Physician Assistant
  • Carmel, NY
National Provider Identifier
1770905523
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017323 Issued in NY
Practice address
664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone
(845) 278-8400
Fax
(845) 278-4326
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017323 NY Primary

Addresses

Primary practice location

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940

Mailing address

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone (845) 278-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140414000284 NY Practitioner - Physician Assistant 2466684014 Reassigns benefits to 1 organization
I20250305001245 CT Practitioner - Physician Assistant 2466684014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somers Orthopaedic Surgery and Sports Medicine Group PLLCGroup PAC ID 9638061674, shared by 5 NPIs, 29 clinicians

Practice addresses (Care Compare)

40 Old Ridgebury Rd
Suite 101
Danbury, CT 06810-5123
Phone (203) 397-6872

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone (845) 278-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017323NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Physician Assistant CurrentSince Mar 1, 2025 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

400 Westage Business Ctr Dr
Ste 106
Fishkill, NY 12524
Phone (845) 227-2228

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

Interoperability endpoints

  • Direct secure messaging: nicole.martinelli.1@20311.direct.athenahealth.com
  • Direct secure messaging: nmartinelli@hiemail.healtheconnections.org

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1770905523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.