Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Nicole Maria Antzoulides Conroe, PA

Individual provider Medical Physician Assistant · NPI 1740422336

MS. Nicole Maria Antzoulides Conroe, PA is a Physician Assistant in Orchard Park, New York. Qualified in 2008, 18 years ago. Practices with Academic Medicine Services, Inc, a 116-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2009
Specialties on file
2
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

3680 Eggert Rd
Orchard Park, NY 14127-1963
Phone: (716) 662-5357
Fax: (716) 662-2774
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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 013201 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 013201-1 (NY)

Record details

NPI number1740422336
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 30, 2009
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Academic Medicine Services, Inc. — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients33
Services billed 34 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Kaleida Health Hospital · Buffalo, NY

Colleagues at Academic Medicine Services, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 116 clinicians in the practice; 12 are shown here.

Other providers in Orchard Park