NICOLE ANNE MADRILEJO
NPI 1013536937
Family Medicine in San Diego, CA

Active since April 10, 2020PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Apr 10, 2020 (2 updates tracked since 2020).

About Nicole Anne Madrilejo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ANNE MADRILEJO (NPI 1013536937) is an individual family medicine provider in San Diego, California, licensed in California (A177964) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vallejo.

NPPES Registry Identity

NPI1013536937
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE ANNE MADRILEJO
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Sole ProprietorNo
Enumeration DateApril 10, 2020
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1013536937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A177964
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Location 1

Location 1975 Sereno DrVallejo, CA 94589-2441 · Phone (651) 707-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Anne Madrilejo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Madrilejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 526 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Madrilejo's NPI number?

The NPI number for Nicole Madrilejo is 1013536937. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Nicole Madrilejo located?

Nicole Madrilejo practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Nicole Madrilejo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Madrilejo enrolled in Medicare?

Yes. Nicole Madrilejo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Madrilejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Madrilejo reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Madrilejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Madrilejo was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.