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

MS. Amy Michelle Nicoll, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1588426324

MS. Amy Michelle Nicoll, NURSEPRACTITIONER is a Nurse Practitioner in Pulaski, New York. Qualified in 2023, 3 years ago. Practices with Auburn Memorial Medical Services PC, a 122-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

3858 County Rte 13
Pulaski, NY 13142
Phone: (315) 298-2273
Fax: (315) 298-3752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 353399 (NY)

Record details

NPI number1588426324
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Auburn Memorial Medical Services Pc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pulaski