MS. MYRIAME MIA NICOLAS NP
NPI 1063106805
Nurse Practitioner - Psychiatric/Mental Health in Coronado, CA
About Ms. Myriame Mia Nicolas Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MYRIAME MIA NICOLAS NP (NPI 1063106805) is an individual psychiatric/mental health provider in Coronado, California, licensed in California (NP95024480) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Myriame Mia Nicolas Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Myriame Nicolas's NPI number?
The NPI number for Myriame Nicolas is 1063106805. It was assigned to this individual provider in the NPPES registry on June 5, 2023.
Where is Myriame Nicolas located?
Myriame Nicolas practices at 158 C Ave, Coronado, CA 92118. The listed phone number is (619) 435-5400.
What is Myriame Nicolas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Myriame Nicolas enrolled in Medicare?
Yes. Myriame Nicolas is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Myriame Nicolas was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Ms. Myriame Mia Nicolas, NP · NPI 1063106805
Psychiatric/Mental Health physician in Coronado, California. Individual provider, active in the CMS NPPES registry since June 5, 2023.
## Identity
- **NPI:** 1063106805 (Entity type: Individual)
- **Enumerated:** June 5, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP95024480 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 158 C AVE, Coronado, CA 92118-1420
- **Phone:** (619) 435-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063106805) · Data from the CMS NPPES public registry.