Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Bacchus

Individual provider Family Nurse Practitioner · NPI 1255790192

Alicia Bacchus is a Nurse Practitioner in New York, New York. Qualified in 2015, 11 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, New Jersey and New York.

Years since qualifying
11
Licensed in
CA, NJ, NY
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

177 Fort Washington Ave
New York, NY 10032
Phone: (707) 344-2097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 From Rd Ste 506, Paramus, NJ 07652-3517 — (551) 996-8100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15357100 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F341946 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95003307 (CA)

Record details

NPI number1255790192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2016
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New York