Nicole L Dusenbury, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014584-1 Issued in NY

Practice address

50 Millard St
Dundee, NY 14837-9400

Phone

(607) 243-7881

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, OR, WA3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soldiers and Sailors Memorial Hospital 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314
• Geneva General Hospital Hospital, Geneva, NY, CCN 330058

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: n.dusenbury@flhmedical.medentdirect.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1469

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.

• Soldiers & Sailors Memorial Hospital

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618

  NY

  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  OR, WA

  Medicare reassignment NPD
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Waterloo, NY
  • NPI 1972101491
  Care Compare group NPD
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829

  OR

  Medicare reassignment
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486

  OR

  Medicare reassignment
• Soldiers & Sailors Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Penn Yan, NY
  • NPI 1093858896
  Care Compare group
• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Care Compare group
• Soldiers & Sailors Memorial Hospital

  • Skilled Nursing Facility
  • Penn Yan, NY
  • NPI 1376686162
  Care Compare group
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Dundee, NY
  • NPI 1528775665
  Care Compare group
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1700552775
  Care Compare group
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Seneca Falls, NY
  • NPI 1750989265
  Care Compare group
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1871848457
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Geneva General Hospital Inc.

  • General Acute Care Hospital
  • Geneva, NY
  • NPI 1952418352

  Hospital

  Care Compare affiliation
• Geneva General Hospital, Inc

  • Family Medicine Physician
  • Clyde, NY
  • NPI 1255087003

  Hospital

  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516

  Hospital

  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1538708128

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1982925301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MILLARD ST",
            "city": "DUNDEE",
            "state": "NY",
            "postal_code": "148379400",
            "telephone_number": "607-243-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MILLARD ST",
            "city": "DUNDEE",
            "state": "NY",
            "postal_code": "148379400",
            "telephone_number": "607-243-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSENBURY",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054809",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD -- 581",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014584-1",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA207501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Ilean Buono, LPN
• Sonya Gayle Burke, RN,BSN
• Julie Byrnside, LPN
• Gary Michael Demuynck, D.V.M.
• Dundee Central School District
• Dorothy Elizabeth
• Finger Lakes Community Health
• Traci L Fulmer, CASAC
• Alice Gilbert, RN
• Melissa J Gilbert, LPN

• All providers in Dundee, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.