Individual provider Active NPI

Niki Marie Cucchi, FNP

  • Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1790205334
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F341878-01 Issued in NY
Practice address
7 Murray St
Glens Falls, NY 12801-4311
Phone
(518) 636-5284
Fax
(518) 320-7245
NPI assigned
Jun 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F341878-1 NY
Nurse Practitioner 363L00000X F341878-01 NY Primary

Addresses

Primary practice location

7 Murray St
Glens Falls, NY 12801-4311

Mailing address

7 Murray St
Glens Falls, NY 12801-4311
Phone (518) 636-5284

Other names 1

  • Ms. Niki Marie Querim Former name

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
I20170803003708 NY Practitioner - Nurse Practitioner 2163793423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eden Center for Integrative CareGroup PAC ID 0749634640, 7 clinicians

Practice addresses (Care Compare)

7 Murray St
Glens Falls, NY 12801-4311
Phone (518) 636-5284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F341878-1NYMDFamily Medicine Physician
F341878-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Pain Management PLLC CurrentSince Oct 15, 2018 Accepting new patients
The Eden Center for Integrative Care CurrentSince Apr 1, 2025 Accepting new patients
Shannon James Nurse Practitioner in Psychiatry P.C CurrentSince Apr 1, 2025 Accepting new patients
Medical Pain Management Services, PLLC CurrentSince Oct 15, 2018 Accepting new patients

Locations

9 Old Plank Rd
#100
Clifton Park, NY 12065
Phone (518) 371-0777

84 Broad St
Ste 2
Glens Falls, NY 12801
Phone (518) 636-5284

7 Murray St
Glens Falls, NY 12801
Phone (518) 743-1010

375 Bay Rd
Ste 103
Queensbury, NY 12804
Phone (518) 371-0777

195 Church St
Saratoga Springs, NY 12866
Phone (518) 581-9100

Organizations & group practices 4

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": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1790205334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MURRAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014311",
            "telephone_number": "518-636-5284",
            "fax_number": "518-320-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MURRAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014311",
            "telephone_number": "518-636-5284",
            "fax_number": "518-320-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCHI",
        "first_name": "NIKI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-25",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F341878-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F341878-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "QUERIM",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.