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

Nicole Moeller, PA

Individual provider Physician Assistant · NPI 1811304140

Nicole Moeller, PA is a Physician Assistant in Williamsville, New York. Qualified in 2014, 12 years ago. Practices with General Physician PC, a 487-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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

1000 Youngs Rd Ste 101
Williamsville, NY 14221-2644
Phone: (716) 204-4532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 38 Kinsey Ave, Kenmore, NY 14217-1904 — (716) 491-4035

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0176871 (NY)

Record details

NPI number1811304140
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2014
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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