Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Demos, PA-C

Individual provider Physician Assistant · NPI 1780219600

Nicole Demos, PA-C is a Physician Assistant in Poughkeepsie, New York. Graduated from Tufts University School of Medicine in 2020, 6 years ago. Practices with MSKCC Surgery Group, a 365-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Trained at
Tufts University School of Medicine
Licensed in
CT
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone: (908) 397-0416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5536 (CT)

Record details

NPI number1780219600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 11, 2020
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Poughkeepsie