Nicole Deegan, PA
NPI 1124990965ActiveIndividual· Physician Assistant· Newburgh, NY
Physician Assistant (PA) with Nyack Emergency Medical Association PLLC, practicing in Newburgh, New York. Enrolled in Medicare as practitioner - physician assistant. Lists Montefiore St Luke's Cornwall as a hospital affiliation.
Overview
| NPI | 1124990965 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 22, 2025 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 034751 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Nyack Emergency Medical Association PLLCNewburgh, NY · 61 clinicians
Hospital affiliation
- Montefiore St Luke's CornwallNewburgh, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Newburgh
- 1407480551
- 1699458125
- 1700879723
- 1730130386
- 1972292969
- 1114799715
- 1215994645
- 1740665926
- 1801361431
- 1164974945
- 1518265040
- 1245449966
All 20 physician assistants in Newburgh · All physician assistants in New York