NICOLE ALLEY HASTABA PA-C
NPI 1043550775
Physician Assistant in Palm Beach Gardens, FL

Active since February 16, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11030 RCA CENTER DR, SUITE 3015, PALM BEACH GARDENS, FL 33410(561) 776-7041 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Alley Hastaba Pa-c NPPES

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

NICOLE ALLEY HASTABA PA-C (NPI 1043550775) is an individual physician assistant in Palm Beach Gardens, Florida, licensed in Florida (PA9107111) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043550775
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ALLEY HASTABACredential: PA-C
Location Address11030 RCA CENTER DR, SUITE 3015Palm Beach Gardens, FL 33410-4276
Mailing Address5380 N Ocean Dr, Eastpointe 1- 11gRiviera Beach, FL 33404-2515 · (812) 202-0124
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 16, 2013
Last NPPES UpdateFebruary 26, 2015
NPI 1043550775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9107111
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11030 RCA CENTER DR, Palm Beach Gardens, FL 33410

Accepted Insurance

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 Alley Hastaba Pa-c 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 ID446485585
PECOS Enrollment IDI20131028001013
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Ambulatory Surgical)
11030 RCA CENTER DR, 3001
PALM BEACH GARDENS, FL 33410
Physician Assistant
11030 RCA CENTER DR, SUITE 3015
PALM BEACH GARDENS, FL 33410
Dermatology
11030 RCA CENTER DR, SUITE 3015
PALM BEACH GARDENS, FL 33410
Dermatology
11030 RCA CENTER DR, STE 3015
PALM BEACH GARDENS, FL 33410
Nurse Practitioner (Family)
11030 RCA CENTER DR, SUITE 3015
PALM BEACH GARDENS, FL 33410
Dermatology
11030 RCA CENTER DR, SUITE 3015
PALM BEACH GARDENS, FL 33410
Dermatology
11030 RCA CENTER DR, SUITE 3015
PALM BEACH GARDENS, FL 33410
Dermatology
11030 RCA CENTER DR, #3015
PALM BEACH GARDENS, FL 33410

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 Hastaba's NPI number?

The NPI number for Nicole Hastaba is 1043550775. It was assigned to this individual provider in the NPPES registry on February 16, 2013.

Where is Nicole Hastaba located?

Nicole Hastaba practices at 11030 Rca Center Dr Suite 3015, Palm Beach Gardens, FL 33410. The listed phone number is (561) 776-7041.

What is Nicole Hastaba's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Hastaba enrolled in Medicare?

Yes. Nicole Hastaba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Hastaba accept?

Health plans from Oscar Health Maintenance Organization of Florida list Nicole Hastaba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Hastaba was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.