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Nicole Maria Antzoulides Conroe, P.A.

NPI 1740422336ActiveIndividual· Physician Assistant· Orchard Park, NY

Physician Assistant (P.A.) with Academic Medicine Services, Inc., practicing in Orchard Park, New York. Medicare paid $3,514 for services to 33 patients in 2024. Lists Kaleida Health as a hospital affiliation.

Overview

NPI1740422336
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorNo
NPI issuedMar 30, 2009
Last updated in NPPESFeb 8, 2021
Certified by providerFeb 8, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X013201NY
Physician Assistant, Medical363AM0700X013201-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients33
Services billed34 across 4 procedure codes
Paid by Medicare$3,514

Medicare sources and data years

Education and affiliations

Graduation year2008
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Orchard Park

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