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

MS. Nancy R Ko, RPAC

Individual provider Physician Assistant · NPI 1710196662

MS. Nancy R Ko, RPAC is a Physician Assistant in Bay Shore, New York. Qualified in 1998, 28 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

1855 Union Blvd Ste B
Bay Shore, NY 11706
Phone: (631) 665-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006497 (NY)

Record details

NPI number1710196662
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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