Niki Manole Ninopoulos, PA-C - Medicare Physician Assistant in Albuquerque, NM

Niki Manole Ninopoulos, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Albuquerque, New Mexico. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Rio Grande Dermatology, Pc and her current practice location is 3901 Carlisle Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 254-6100.

Niki Manole Ninopoulos is licensed to practice in New Mexico (license number PA2018-0074) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134604978.

Contact Information

Niki Manole Ninopoulos, PA-C
3901 Carlisle Blvd Ne,
Albuquerque, NM 87107-4503
(505) 254-6100
(505) 546-5322



Physician's Profile

Full NameNiki Manole Ninopoulos
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location3901 Carlisle Blvd Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Niki Manole Ninopoulos graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1134604978
  • Provider Enumeration Date: 09/27/2018
  • Last Update Date: 12/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8820335953
  • Enrollment ID: I20190129000452

Medical Identifiers

Medical identifiers for Niki Manole Ninopoulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134604978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology PA2018-0074 (New Mexico)Secondary
363AM0700XPhysician Assistant - Medical (New Mexico)Secondary
363AM0700XPhysician Assistant - Medical PA2018-0074 (New Mexico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rio Grande Dermatology, Pc40827770087

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Niki Manole Ninopoulos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Niki Manole Ninopoulos, PA-C
4501 Larchmont Dr Ne,
Albuquerque, NM 87111-3042

Ph: (505) 315-6932
Niki Manole Ninopoulos, PA-C
3901 Carlisle Blvd Ne,
Albuquerque, NM 87107-4503

Ph: (505) 254-6100

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