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

Nickolas Izzo, PA

Individual provider Physician Assistant · NPI 1558880815

Nickolas Izzo, PA is a Physician Assistant in Liverpool, New York. Qualified in 2017, 9 years ago. Practices with Wellnow Urgent Care, PC, a 411-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5100 W Taft Rd Ste 1D
Liverpool, NY 13088-3808
Phone: (315) 744-1833
Fax: (315) 452-2336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558880815
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESSeptember 18, 2017
Mailing address301 Prospect Ave Rm 1605, Syracuse, NY 13203-1807

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellnow Urgent Care, P.C. — 411 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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