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

MS. Chevonne Marie Nickerson, FNP

Individual provider Family Medicine Physician · NPI 1386616977

MS. Chevonne Marie Nickerson, FNP is a Nurse Practitioner in Corning, New York. Qualified in 1996, 30 years ago. Practices with Guthrie Medical Group PC, a 797-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

130 Centerway
Corning, NY 14830
Phone: (607) 973-8000
Fax: (607) 973-8161
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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 F331493-1 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence F331493 (NY)

Record details

NPI number1386616977
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Guthrie Medical Group Pc — 797 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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