Nicole McKeown
Nurse Practitioner, Primary Care in Oceanside, NY. Individual provider (NPI-1).
NPI number1164225538
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1164225538
- Entity type
- Individual (NPI-1)
- Name
- Nicole McKeown
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 352239 | NY | Yes |
Practice location
3292 Elliott BlvdOceanside, NY 11572-3612
Phone 516-359-5677
Mailing address
3292 Elliott BlvdOceanside, NY 11572-3612
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