NICHOLAS DIAZ
NPI 1205518065
Nurse Practitioner in Tampa, FL

Active since August 02, 2023PECOS EnrolledAccepts Medicare Assignment
2502 W SAINT ISABEL ST, TAMPA, FL 33607(813) 874-5707 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas Diaz NPPES

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

NICHOLAS DIAZ (NPI 1205518065) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11028427) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Riverview.

NPPES Registry Identity

NPI1205518065
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLAS DIAZ
Location Address2502 W SAINT ISABEL STTampa, FL 33607-6318
Mailing Address5556 Silver Sun DrApollo Beach, FL 33572-2085
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 2, 2023
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedAugust 30, 2023
NPI 1205518065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11028427
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9502733 (FL)
2502 W SAINT ISABEL ST, Tampa, FL 33607

Secondary Practice Location 1

Location 16901 Simmons LoopRiverview, FL 33578-9498 · Phone (813) 302-8000

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

Nicholas Diaz 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 ID6305383993
PECOS Enrollment IDI20240731003434
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Obstetrics & Gynecology (Gynecology)
2502 W SAINT ISABEL ST, STE B
TAMPA, FL 33607
Obstetrics & Gynecology (Gynecology)
2502 W SAINT ISABEL ST, STE B
TAMPA, FL 33607
Obstetrics & Gynecology (Gynecology)
2502 W SAINT ISABEL ST, STE B
TAMPA, FL 33607
Specialist
2502 W SAINT ISABEL ST, SUITE A
TAMPA, FL 33607
Nurse Practitioner (Family)
2502 W SAINT ISABEL ST, SUITE B
TAMPA, FL 33607
Physician Assistant (Medical)
2502 W SAINT ISABEL ST
TAMPA, FL 33607
Emergency Medicine
2502 W SAINT ISABEL ST, SUITE B
TAMPA, FL 33607
Emergency Medicine
2502 W SAINT ISABEL ST, SUITE B
TAMPA, FL 33607

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 Nicholas Diaz's NPI number?

The NPI number for Nicholas Diaz is 1205518065. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Nicholas Diaz located?

Nicholas Diaz practices at 2502 W Saint Isabel St, Tampa, FL 33607. The listed phone number is (813) 874-5707.

What is Nicholas Diaz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicholas Diaz enrolled in Medicare?

Yes. Nicholas Diaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicholas Diaz affiliated with any hospitals?

According to CMS data, Nicholas Diaz is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Diaz was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.