NICOLE ANNE SOTO
NPI 1073852265
Nurse Practitioner - Pediatrics in Eielson Afb, AK

Q: What is Nicole Soto's NPI number?

The NPI number for Nicole Soto is 1073852265. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Q: What is Nicole Soto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Soto was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 07, 2013PECOS Enrolled

2630 CENTRAL AVE, EIELSON AFB, AK 99702 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Jul 21, 2022, May 23, 2017 (3 updates tracked since 2017).

On this page

About Nicole Anne Soto NPPES

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

NICOLE ANNE SOTO (NPI 1073852265) is an individual pediatrics provider in Eielson Afb, Alaska, licensed in Texas (AP123904) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eielson Afb.

NPPES Registry Identity

NPI1073852265

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNICOLE ANNE SOTO

Location Address2630 CENTRAL AVEEielson Afb, AK 99702-2301

Mailing Address2630 Central AveEielson Afb, AK 99702-2301 · (907) 377-4727

Sole ProprietorNo

Enumeration DateFebruary 7, 2013

Last NPPES UpdateJune 25, 20243 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1073852265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · AP123904

2630 CENTRAL AVE, Eielson Afb, AK 99702

Open in Google Maps ↗

Secondary Practice Location 1

Location 12630 Central AveEielson AFB, AK 99702-2301

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Anne Soto 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99702 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

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.

KELSEY GENE BROOME PHYSICIAN ASSISTANT

Physician Assistant (Medical)