Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124184833 Deactivated / Inactive NPI Female Practitioner

Alice B Chico , PNP

Pediatrics • Camillus, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Alice Chico has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2006
NPI Deactivation Date January 02, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Alice Chico, PNP was a registered Pediatrics practicing in Camillus, NY. Throughout an active medical career spanning 13 years, Alice Chico provided care at the practice location at 601 NORTH WAY until profile deactivation on 2019-01-02.

Practice Location & Contact Primary Location

Practice Address

601 North Way

Camillus, NY 130311498

Telephone 3154871541
Fax 3154873485
Associated Practice Facility / Clinic
🏢 Pediatric Associates Llp Facility NPI 1932283348

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Camillus, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Camillus, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY F3802591

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Nicole Lavalle , FNP

Nurse Practitioner - Family

NPI 1013527605

Family Nurse Practitioner

NPI 1053402404

Doctor of Medicine (M.D.)

NPI 1053402594

Doctor of Medicine (M.D.)

NPI 1124119664

Doctor of Medicine (M.D.)

NPI 1255422796

Doctor of Medicine (M.D.)

NPI 1447313341

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 02, 2019

Record deactivated on January 02, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 601 NORTH WAY, CAMILLUS, NY 130311498 (Tel: 3154871541)

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Updated Business Mailing Address July 08, 2007

Registered at 601 NORTH WAY, CAMILLUS, NY 130311498 (Tel: 3154871541)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ALICE CHICO, PNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #F3802591 in NY)

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Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124184833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: July 08, 2007
Deactivation Date: January 02, 2019

Mailing Address

601 North Way

Camillus, NY 130311498

Phone: 3154871541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.