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

Nicole Brianna Cerklewich, DO

Individual provider Family Medicine Physician · NPI 1871889105

Nicole Brianna Cerklewich, DO is registered under Family Practice in Champlain, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2011, 15 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NY
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

828 State Route 11
Champlain, NY 12919-4966
Phone: (518) 298-2691
Fax: (518) 298-8421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 272368 (NY)

Record details

NPI number1871889105
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2011 (15 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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 patients73
Services billed 109 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

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. Those with a page here are linked.

  • Elizabethtown Community Hospital Hospital · Elizabethtown, NY
  • Hospice Of The North Country Inc Hospice · Plattsburgh, NY · listed as Hospice of the North Country, Inc
  • The University Of Vermont Health Network - Champl Hospital · Plattsburgh, NY
  • The University Of Vermont Health Network-Alice Hy Hospital · Malone, NY
  • Hcr / Hcr Home Care Chha (Plattsburgh) Home health agency · Plattsburgh, NY

Colleagues at Hudson Headwaters Health Network

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 218 clinicians in the practice; 12 are shown here.

Other providers in Champlain