Individual provider Active NPI

Nicole Ashley Siguencia, NP

  • Nurse Practitioner
  • Patchogue, NY
National Provider Identifier
1881926491
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
310316 Issued in NY
Practice address
260 Sills Road Suite C
Patchogue, NY 11772
Phone
(631) 289-0300
NPI assigned
Feb 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 310316 NY Primary

Addresses

Primary practice location

260 Sills Road Suite C
Patchogue, NY 11772

Mailing address

260 Sills Road Suite C
Patchogue, NY 11772
Phone (631) 289-0300

Other names 1

  • Nicole Ashley Uceda 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
I20220913000398 NY Practitioner - Nurse Practitioner 3375928336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310316NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC Current Accepting new patients
Harbor View Medical Services PC CurrentSince Dec 6, 2022 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Mar 16, 2025 Accepting new patients
Harbor View Medical Services PC CurrentSince Dec 6, 2022 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

70 N Country Rd
Ste 102
Port Jefferson, NY 11777
Phone (631) 686-7970

70 N Country Rd
Ste 101
Prt Jefferson, NY 11777
Phone (631) 473-0037

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": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1881926491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SILLS ROAD SUITE C",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-289-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SILLS ROAD SUITE C",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-289-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGUENCIA",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-06",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "310316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "UCEDA",
            "middle_name": "ASHLEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.