Mary Ellen Nichols
PNP | Nurse Practitioner - Pediatrics
1555 Long Pond Rd, Department Of Pediatrics, Rochester
New York, 14626-4122
585-368-4012
May or may not accept Medicare Nurse Anesthetist in Rochester, New York.Mary Ellen Nichols is a Rochester, New York based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mary Ellen Nichols is F381231 for Pediatrics in New York. Her current practice location is 1555 Long Pond Rd, Department Of Pediatrics, Rochester. Patients can reach her at 585-368-4012 or can fax her at 585-368-4019. Mary Ellen Nichols is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1649203555.
Mary Ellen Nichols specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mary Ellen Nichols speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Ellen Nichols |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP |
| Practice Address: | 1555 Long Pond Rd, Department Of Pediatrics, Rochester, New York, 14626-4122 |
| Phone: | 585-368-4012 |
| Fax: | 585-368-4019 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1649203555 |
| NPI Enumeration Date: | 07 Jul, 2006 |
| NPI Last Update On: | 15 Apr, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Ellen Nichols are as mentioned below.
| License Number | Specialization | State | Status | |
| F381231 | Pediatrics | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Ellen Nichols such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02573513 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Ellen Nichols 100 Kings Hwy S, Rochester, New York |
| Zip: | 14617-5504 |
| Phone Number: | 585-922-0553 |
Patients can reach Mary Ellen Nichols at
1555 Long Pond Rd, Department Of Pediatrics, Rochester, New York or can
call to book an appointment on 585-368-4012.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.