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

Catherine M Vannicola

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013647437

Catherine M Vannicola is a Nurse Practitioner in Utica, New York. Qualified in 2022, 4 years ago. Practices with Emergency Physician Services of New York, PC, a 130-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1656 Champlin Ave
Utica, NY 13502-4830
Phone: (315) 525-2448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 349922 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013647437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Physician Services Of New York, P.C. — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Utica