NICOLE LIN MENDELSON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1063916641
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
79 PATHOLOGY in VT
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Provider Addresses for NICOLE LIN MENDELSON (MD)
University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 054011473
Phone:
Type: Mailing
1300 York Ave
New York, NY 100654805
Phone: (212) 746-2700
Type: Location
111 Colchester Ave
Burlington, VT 054011473
Phone: (802) 847-0000
Type: Location
1300 YORK AVE DEPT OF
NEW YORK, NY 100654805
Phone:
Type: Mailing
1300 YORK AVE
NEW YORK, NY 100654805
Phone: (212) 746-2700
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221230000549 | I | Pathology | NY | TBD |
| I20250522002210 | I | Pathology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 175 | 64 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | NY | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | OH |
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