Nicole Ellenbogen
NPI 1174369201 · Medical Physician Assistant · New York, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Ellenbogen is a Medical Physician Assistant provider in New York, NY (NPI 1174369201).
Provider details
- NPI number
- 1174369201
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Frequently asked questions
- What is Nicole Ellenbogen's NPI number?
- Nicole Ellenbogen's National Provider Identifier (NPI) is 1174369201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Ellenbogen's specialty?
- Nicole Ellenbogen is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Ellenbogen located?
- Nicole Ellenbogen's practice location on file with NPPES is 100 E 77th St, New York, NY 10075-1850.
- What is Nicole Ellenbogen's phone number?
- The practice phone number listed in the NPPES registry for Nicole Ellenbogen is (212) 434-2000.
- Does Nicole Ellenbogen accept Medicare?
- Nicole Ellenbogen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Ellenbogen's NPI active?
- Yes — Nicole Ellenbogen's NPI (1174369201) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.