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

Nicole Marie Pellegrini, PA

Individual provider Physician Assistant · NPI 1205910825

Nicole Marie Pellegrini, PA is a Physician Assistant in Albany, New York. Qualified in 2006, 20 years ago. Practices with Community Care Physicians PLLC, a 364-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2006
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

100 Great Oaks Blvd Ste 105
Albany, NY 12203-7924
Phone: (518) 869-8007
Fax: (518) 869-8742
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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 011549 (NY)

Record details

NPI number1205910825
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJanuary 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Community Care Physicians Pllc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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