Look up the most recent NPI and PECOS records

Nicole Raczkowski

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Raczkowski is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1679133359
Provider Type
Individual
Full Name
Raczkowski, Nicole
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/16/2019
Last Updated
6/5/2023

Contact Information

Practice Location

150 55th St, Brooklyn, NY 11220-2508

(718) 630-7000

Unlisted Fax

Mailing Location

150 55th St, Brooklyn, NY 11220-2508

(718) 630-7000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 024124 New York

Nicole Raczkowski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

He, Alvin

Li, Yu Hong

Orlov, Vadim

Li, Rebecca

Nelson, Kaitlyn

Loesch, Jesse Patrick

Gelbfish, E Mattie

Merusi, Brian

Mcmenemy, Karen

Fink, Kristen