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DR. NICOLE R AGOSTINELLI M.D.
NPI 1124280391
General Practice in San Diego, CA

Active since June 30, 2008PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-6222 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Jun 29, 2018, Mar 31, 2016 (3 updates tracked since 2016).

About Dr. Nicole R Agostinelli M.d. NPPES

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

DR. NICOLE R AGOSTINELLI M.D. (NPI 1124280391) is an individual general practice provider in San Diego, California, licensed in Pennsylvania (MD443518) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Howard University College Of Medicine (2006).

NPPES Registry Identity

NPI1124280391
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. NICOLE R AGOSTINELLICredential: M.D.
Location Address200 W ARBOR DRSan Diego, CA 92103
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Phone(619) 543-6222
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2006
Enumeration DateJune 30, 2008
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1124280391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD443518
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 260276 (NY), C156148 (CA), 443518 (PA)
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Location 1

Location 1506 6th StBrooklyn, NY 11215-3609 · Phone (718) 780-5040 · Fax (718) 780-3153

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole R Agostinelli M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759551203
PECOS Enrollment IDI20110819000291
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 Reassignments

5

Medicare enrollment records show Nicole Agostinelli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
0.1 mi
Nephrology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 526 clinicians in this Medicare group
NPI 1003934803 (888) 926-8273
Regents Of The University Of California
0.1 mi
Emergency Medicine
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
NPI 1780870899 (619) 543-6222
Knd Development 59 LLC
1.2 mi
Hospitalist
1940 EL CAJON BLVD
San Diego, CA 92104
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1881923951 (502) 596-7300
Central Outreach Wellness Center
2,116 mi
Internal Medicine
127 ANDERSON ST
Pittsburgh, PA 15212
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 45 clinicians in this Medicare group
NPI 1063804136 (412) 608-8313
Ars Treatment Centers, P.C.
2,129 mi
Multi-Specialty
104 DELAWARE AVE STE 244
Uniontown, PA 15401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Ars Treatment Centers PC
  • 140 clinicians in this Medicare group
NPI 1346731171 (800) 805-6989

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

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.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

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 Agostinelli's NPI number?

The NPI number for Nicole Agostinelli is 1124280391. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Nicole Agostinelli located?

Nicole Agostinelli practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-6222.

What is Nicole Agostinelli's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nicole Agostinelli enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Agostinelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Agostinelli reassigns Medicare benefits to 5 organizations: Regents Of The University Of California (San Diego, CA), Regents Of The University Of California (San Diego, CA), Knd Development 59 LLC (San Diego, CA), Central Outreach Wellness Center (Pittsburgh, PA) and Ars Treatment Centers, P.C. (Uniontown, PA). Each 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 Agostinelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Agostinelli accept?

Health plans from Blue Cross and Blue Shield of Texas list Nicole Agostinelli 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 Agostinelli was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.