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

Nicole Elise Tschiderer

Individual provider Physician Assistant · NPI 1164128013

Nicole Elise Tschiderer is a Physician Assistant in Saint Bonaventure, New York. Qualified in 2024, 2 years ago. Practices with University of Rochester Neurosurgery Group, a 49-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2023

Practice location Address checks out

3261 W State Rd
Saint Bonaventure, NY 14778-9800
Phone: (716) 375-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032282-01 (NY)

Record details

NPI number1164128013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Rochester Neurosurgery Group — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Bonaventure