JESSICA ANN NICOLETTI NP
NPI 1215542329
Nurse Practitioner - Family in Roswell, GA

Active since September 15, 2020PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
1380 WOODSTOCK RD, ROSWELL, GA 30075(702) 308-8750 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2021, Sep 15, 2020 (2 updates tracked since 2020).

About Jessica Ann Nicoletti Np NPPES

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

JESSICA ANN NICOLETTI NP (NPI 1215542329) is an individual family provider in Roswell, Georgia, licensed in Georgia (RN237694) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215542329
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA ANN NICOLETTICredential: NP
Location Address1380 WOODSTOCK RDRoswell, GA 30075-2141
Mailing Address1380 Woodstock RdRoswell, GA 30075-2141 · (770) 640-3131
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2020
Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
NPI 1215542329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN237694
1380 WOODSTOCK RD, Roswell, GA 30075

Secondary Practice Locations 2

Location 1207 Crestmont WayCanton, GA 30114-8875 · Phone (678) 880-6698
Location 2950 Towne Lake PkwyWoodstock, GA 30189-1601 · Phone (404) 948-3019

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

Jessica Ann Nicoletti Np 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 ID2466863261
PECOS Enrollment IDI20201130003055
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30075 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 14

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

Pharmacist
1380 WOODSTOCK RD
ROSWELL, GA 30075
Counselor (Professional)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Pharmacy
1380 WOODSTOCK RD
ROSWELL, GA 30075
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Pharmacist
1380 WOODSTOCK RD
ROSWELL, GA 30075

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 Jessica Nicoletti's NPI number?

The NPI number for Jessica Nicoletti is 1215542329. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Jessica Nicoletti located?

Jessica Nicoletti practices at 1380 Woodstock Rd, Roswell, GA 30075. The listed phone number is (702) 308-8750.

What is Jessica Nicoletti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Nicoletti enrolled in Medicare?

Yes. Jessica Nicoletti 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.

When was this NPI record last updated?

The NPPES record for Jessica Nicoletti was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.