Individual provider Active NPI

Nycole Brong, PA

  • Physician Assistant
  • Amherst, NY
National Provider Identifier
1790765741
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008156 Issued in NY
Practice address
207 Commerce Dr
Amherst, NY 14228-2302
Phone
(716) 689-1901
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 008156 NY Primary

Addresses

Primary practice location

207 Commerce Dr
Amherst, NY 14228-2302

Mailing address

462 Grider St
Erie County Medical Center
Buffalo, NY 14215-3021
Phone (716) 898-3525

Other identifiers 1

IdentifierTypeStateIssuer
02343795MedicaidNY

Other names 1

  • Nycole Agnello 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
I20060308000391 NY Practitioner - Physician Assistant 4981611514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

225 S Cascade Dr
Springville, NY 14141-9275
Phone (716) 599-1163

3450 Union Rd
Cheektowaga, NY 14225-5120
Phone (716) 395-2043

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

4827 Transit Rd
Depew, NY 14043-4788
Phone (716) 771-3394

4923 Southwestern Blvd
Hamburg, NY 14075-2616
Phone (716) 926-6358

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

Organizations & group practices 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790765741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "ERIE COUNTY MEDICAL CENTER",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 COMMERCE DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282302",
            "telephone_number": "716-689-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONG",
        "first_name": "NYCOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02343795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYCOLE",
            "last_name": "AGNELLO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.