Individual provider Active NPI

Courtney Nicolella, FNP-C

  • Hospitalist Physician
  • Schenectady, NY
National Provider Identifier
1821834771
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
F354240-01 Issued in NY
Practice address
1101 Nott St
Schenectady, NY 12308-2489
Phone
(518) 275-9688
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X F354240-01 NY Primary

Addresses

Primary practice location

1101 Nott St
Schenectady, NY 12308-2489

Mailing address

186 1St Ave
Gloversville, NY 12078-3406
Phone (518) 275-9688

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
I20250312001634 NY Practitioner - Nurse Practitioner 4688195183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F354240-01NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Dec 30, 2024 Accepting new patients

Locations

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1101 Nott St
Unit C1
Schenectady, NY 12308

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1821834771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 1ST AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783406",
            "telephone_number": "518-275-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082489",
            "telephone_number": "518-275-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLELLA",
        "first_name": "COURTNEY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "F354240-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.