NICOLE ALYSSA MCNUTT PA
NPI 1043388168
Physician Assistant - Medical in Orlando, FL

Q: What is Nicole Mcnutt's NPI number?

The NPI number for Nicole Mcnutt is 1043388168. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Nicole Mcnutt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mcnutt was last updated on February 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment

78.01/100

CMS Quality Rating

1613 N MILLS AVE, ORLANDO, FL 32803(407) 894-4474(407) 894-7136 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicole Alyssa Mcnutt Pa NPPES

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

NICOLE ALYSSA MCNUTT PA (NPI 1043388168) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9103774) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1043388168

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE ALYSSA MCNUTTCredential: PA

Location Address1613 N MILLS AVEOrlando, FL 32803-1849

Mailing Address1613 N Mills AveOrlando, FL 32803-1849 · (407) 894-4474 · Fax (407) 894-7136

Phone(407) 894-4474

Fax(407) 894-7136

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 30, 2006

Last NPPES UpdateFebruary 18, 2015

✔ NPI 1043388168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9103774

1613 N MILLS AVE, Orlando, FL 32803

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Other Identifiers 1

Medicare PINFG233ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Alyssa Mcnutt Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294906285

PECOS Enrollment IDI20110923000153

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

371 services349 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

127 services114 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services75 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.51

Promoting Interoperability

100

Improvement Activities

Cost

69.18

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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.

MRS. ABIGAIL KATZMAN HOFFMAN APRN-C, MSN

Nurse Practitioner (Adult Health)