Nicole Barth, FNP-C - Medicare Nurse Practitioner in Surprise, AZ

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Nicole Barth, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Surprise, Arizona. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Leading Healthcare Clinic Of Goodyear, Llc and her current practice location is 12361 W Bola Dr, Suite 109, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 227-1000.

Nicole Barth is licensed to practice in Arizona (license number AP9877) 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 1417497066.

Contact Information

Nicole Barth, FNP-C
12361 W Bola Dr, Suite 109,
Surprise, AZ 85378-9021
(623) 227-1000
Not Available

Map and Direction




Provider's Profile

Full NameNicole Barth
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location12361 W Bola Dr, Surprise, Arizona
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:
  • Nicole Barth graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1417497066
  • Provider Enumeration Date: 03/01/2017
  • Last Update Date: 03/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0042576175
  • Enrollment ID: I20171106003166

Medical Identifiers

Medical identifiers for Nicole Barth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417497066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP9877 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Leading Healthcare Clinic Of Goodyear, Llc73153773718

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 Barth allows following entities to bill medicare on her behalf.
Entity NameLeading Healthcare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356853691
PECOS PAC ID: 1850652496
Enrollment ID: O20180222002817
Entity NameRaghav Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598125791
PECOS PAC ID: 2466709274
Enrollment ID: O20180725002648
Entity NameLeading Healthcare Clinic Of Goodyear, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902448566
PECOS PAC ID: 7315377371
Enrollment ID: O20200415002967
Entity NameTeam Select Mobile Physicians Az Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073148326
PECOS PAC ID: 6608298419
Enrollment ID: O20200624002619

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 Barth 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
Nicole Barth, FNP-C
12361 W Bola Dr, Suite 109,
Surprise, AZ 85378-9021

Ph: (623) 227-1000		Nicole Barth, FNP-C
12361 W Bola Dr, Suite 109,
Surprise, AZ 85378-9021

Ph: (623) 227-1000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.