Nicole Roldan, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Palm City, Florida. Her current practice location is
1067 Sw Spruce St, Palm City, Florida. You can reach out to her office (for appointments etc.) via phone at
(195) 461-4424.
Nicole Roldan is licensed to practice in Florida (license number 11018604) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891481586.
Physician's Profile
Full Name | Nicole Roldan |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 1067 Sw Spruce St, Palm City, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891481586
- Provider Enumeration Date: 04/14/2023
- Last Update Date: 04/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446699698
- Enrollment ID: I20240514004339
Medical Identifiers
Medical identifiers for Nicole Roldan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891481586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 11018604 (Florida) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | 11018604 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 11018604 (Florida) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 11018604 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Roldan allows following entities to bill medicare on her behalf.
Entity Name | Kure Mobile Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316680291 PECOS PAC ID: 1951780808 Enrollment ID: O20220623000328 |
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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. Nicole Roldan 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 Address | Practice Location Address |
Nicole Roldan, APRN 1067 Sw Spruce St, Palm City, FL 34990-2831 Ph: (195) 461-4424 | Nicole Roldan, APRN 1067 Sw Spruce St, Palm City, FL 34990-2831 Ph: (195) 461-4424 |
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