MS. NICOLE C FALLACARO PA
NPI 1174582290
Physician Assistant in Gilbert, AZ

Active since March 18, 2006Opted out of Medicare · through Jan 1, 2028
2730 S VAL VISTA DR, GILBERT, AZ 85295(480) 324-0300 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Nicole C Fallacaro Pa NPPES

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

MS. NICOLE C FALLACARO PA (NPI 1174582290) is an individual physician assistant in Gilbert, Arizona, licensed in Arizona (4453) and active in the NPI registry since March 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1174582290
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. NICOLE C FALLACAROCredential: PA
Location Address2730 S VAL VISTA DRGilbert, AZ 85295-1675
Mailing Address7095 S Fawn AveGilbert, AZ 85298-9274 · (718) 702-4796
Sole ProprietorNo
Enumeration DateMarch 18, 2006
Last NPPES UpdateDecember 28, 2011
NPI 1174582290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AZ · 4453 Licensed in NY · 010718
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2730 S VAL VISTA DR, Gilbert, AZ 85295

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Nicole C Fallacaro Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Urology
2730 S VAL VISTA DR, BLDG.#13, SUITE 177
GILBERT, AZ 85295
Behavior Analyst
2730 S VAL VISTA DR
GILBERT, AZ 85295
Nurse Practitioner (Family)
2730 S VAL VISTA DR, SUITE 188
GILBERT, AZ 85295
Physician Assistant
2730 S VAL VISTA DR
GILBERT, AZ 85295
Clinic/Center (Multi-Specialty)
2730 S VAL VISTA DR, SUITE 164
GILBERT, AZ 85295
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2730 S VAL VISTA DR, SUITE 137
GILBERT, AZ 85295
Nurse Practitioner (Family)
2730 S VAL VISTA DR
GILBERT, AZ 85295
Psychiatry & Neurology (Neurology)
2730 S VAL VISTA DR, SUITE 146
GILBERT, AZ 85295

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 Fallacaro's NPI number?

The NPI number for Nicole Fallacaro is 1174582290. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Nicole Fallacaro located?

Nicole Fallacaro practices at 2730 S Val Vista Dr, Gilbert, AZ 85295. The listed phone number is (480) 324-0300.

What is Nicole Fallacaro's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Fallacaro enrolled in Medicare?

No. Nicole Fallacaro has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nicole Fallacaro accept?

Health plans from Oscar Health Plan, Inc. list Nicole Fallacaro 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 Fallacaro was last updated on December 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.