Individual provider Active NPI

Nicole J Gaden, P.A.

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1790085264
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
022054 Issued in NY
Practice address
3379 Chili Ave Ste 100
Rochester, NY 14624
Phone
(585) 889-0750
Fax
(585) 889-0750
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 022054 NY Primary

Addresses

Primary practice location

3379 Chili Ave Ste 100
Rochester, NY 14624

Mailing address

3379 Chili Ave Ste 100
Rochester, NY 14624-5325
Phone (585) 889-0750

Other practice location 1

163 Gore St
Cambridge, MA 02141-1119
Phone (617) 665-3000

Other names 1

  • Nicole J Mimken Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole.gaden@rochesterregional.org

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
I20181010003467 NY Practitioner - Physician Assistant 9739310749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Dec 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Dec 1, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 4, 2018 Accepting new patients

Locations

3379 Chili Ave
Ste 100
Rochester, NY 14624
Phone (585) 368-6857

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1790085264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 CHILI AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245325",
            "telephone_number": "585-889-0750",
            "fax_number": "585-889-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 CHILI AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14624",
            "telephone_number": "585-889-0750",
            "fax_number": "585-889-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Gore St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021411119",
            "country_code": "US",
            "telephone_number": "617-665-3000",
            "fax_number": "617-665-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADEN",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "022054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.gaden@rochesterregional.org",
            "affiliation": "N",
            "address_1": "3379 Chili Ave Ste 100",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MIMKEN",
            "middle_name": "J",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.