NOLAN DYKO - NPI 1164268355 - Anesthesiologist Assistant in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Anesthesiologist Assistant with taxonomy code 367H00000X.

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About Nolan Dyko NPPES

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

NOLAN DYKO (NPI 1164268355) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA1131) and active in the NPI registry since July 2024. He is affiliated with Baptist Health Medical Center - Jacksonville and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164268355

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameNOLAN DYKO

Location Address6675 CORPORATE CENTER PKWYJacksonville, FL 32216-8079

Mailing Address6675 Corporate Center PkwyJacksonville, FL 32216-8079 · (904) 245-8910

Phone(904) 245-8910

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 8, 2024

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1164268355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in FL · AA1131✔ Licensed in FL · 456457381

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

6675 CORPORATE CENTER PKWY, Jacksonville, FL 32216

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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

Nolan Dyko 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 ID9436656873

PECOS Enrollment IDI20251009004798

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

TYRA ALYSSA DAVIS PA

Physician Assistant