Nicole Addonizio, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI 1982010054 · NPPES record last updated May 3, 2016
Key facts
- NPI
- 1982010054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F401923-1 (NY)
- Practice address
- 462 1St Ave
New York, NY 10016-9196 - Phone
- (212) 562-4977
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200423001482 | NY | Practitioner - Nurse Practitioner | 0941503676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6737541 | NY | MD | Registered Nurse |
| F401923-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients |
Locations
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- naddonizio48869@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 6737541 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401923-1 | NY | Yes |
Addresses
Primary practice location
462 1St Ave
New York, NY 10016-9196
Mailing address
462 1St Ave
New York, NY 10016-9196
Phone (212) 562-4977
Other providers in New York, NY
- Afua Owusua Addo
- Alex Johnson Addo
- Emilia Addo
- Devon Kimberly Addonizio
- Linda Addonizio
- Doreen Addrizzo-Harris
- Jermyn Addy
- Marianine Ade
- Samantha Ade
- Oyedolapo Adeaga
All providers in New York, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.