JOHN NICKOLAI JOAQUIN
NPI 1174471486
Student in an Organized Health Care Education/Training Program in Brooksville, FL

Active since March 20, 2026PECOS Enrolled
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 592-2757 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Nickolai Joaquin NPPES

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

JOHN NICKOLAI JOAQUIN (NPI 1174471486) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since March 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174471486
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJOHN NICKOLAI JOAQUIN
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409 · (352) 592-2757
Sole ProprietorYes
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
NPI 1174471486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11375 CORTEZ BLVD, Brooksville, FL 34613

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Nickolai Joaquin 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.

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.

Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613

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 John Joaquin's NPI number?

The NPI number for John Joaquin is 1174471486. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is John Joaquin located?

John Joaquin practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 592-2757.

What is John Joaquin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Joaquin enrolled in Medicare?

Yes. John Joaquin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Joaquin was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.