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

Nichole S Supple, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871805341

Nichole S Supple, DO is an Emergency Medicine in Rochester, New York. Qualified in 2010, 16 years ago. Practices with Port City Emergency Physicians LLP, a 48-clinician group and accepts Medicare assignment. Licensed in New York and Rhode Island.

Years since qualifying
16
Licensed in
NY, RI
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3001
Phone: (585) 922-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 274423 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LP01965 (RI)

Record details

NPI number1871805341
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 13, 2010
Last updated in NPPESOctober 3, 2014

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Port City Emergency Physicians Llp — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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