Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole M Kutchenrider, PA-C

Individual provider Medical Physician Assistant · NPI 1164816682

Mrs. Nicole M Kutchenrider, PA-C is a Physician Assistant in Plainview, New York. Qualified in 2012, 14 years ago. Practices with Chs Physician Partners PC, a 747-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1181 Old Country Rd Ste 3
Plainview, NY 11803-5018
Phone: (516) 931-2320
Fax: (516) 931-5734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017096 (NY)

Record details

NPI number1164816682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 23, 2015
Last updated in NPPESMarch 23, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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