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

Miss. Nicole Tessa Wizel, PA-C

Individual provider Medical Physician Assistant · NPI 1497122170

Miss. Nicole Tessa Wizel, PA-C is a Physician Assistant in Fresh Meadows, New York. Graduated from Mercy College in 2015, 11 years ago. Practices as a sole proprietor.

Years since qualifying
11
Trained at
Mercy College
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

17660 Union Tpke Ste 360
Fresh Meadows, NY 11366-1526
Phone: (718) 460-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1497122170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 28, 2015
Last updated in NPPESAugust 28, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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