Irisi Nikolla, NP - Medicare Nurse Practitioner in Staten Island, NY

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Irisi Nikolla, NP is a medicare enrolled "Nurse Practitioner - Family" in Staten Island, New York. Her current practice location is 129 Seneca St, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (347) 216-7632.

Irisi Nikolla is licensed to practice in New York (license number 0000000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184968430.

Contact Information

Irisi Nikolla, NP
129 Seneca St,
Staten Island, NY 10310-2333
(347) 216-7632
Not Available

Map and Direction




Provider's Profile

Full NameIrisi Nikolla
GenderFemale
SpecialityNurse Practitioner - Family
Location129 Seneca St, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184968430
  • Provider Enumeration Date: 11/26/2012
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335680198
  • Enrollment ID: I20240919002353

Medical Identifiers

Medical identifiers for Irisi Nikolla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184968430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 664266 (New York)Secondary
363LF0000XNurse Practitioner - Family 0000000 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Irisi Nikolla allows following entities to bill medicare on her behalf.
Entity NamePair Team Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134838352
PECOS PAC ID: 6709225402
Enrollment ID: O20240415001099
Entity NamePair Team Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659132553
PECOS PAC ID: 6709326358
Enrollment ID: O20240910000941

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Irisi Nikolla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Irisi Nikolla, NP
533 Ovington Ave,
Brooklyn, NY 11209-1701

Ph: (347) 216-7632		Irisi Nikolla, NP
129 Seneca St,
Staten Island, NY 10310-2333

Ph: (347) 216-7632

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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