JESSICA ANN NICOLETTI NP
NPI 1215542329
Nurse Practitioner - Family in Roswell, GA
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Nicoletti reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 565 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Jessica Nicoletti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Nicoletti reassigns Medicare benefits to 2 organizations: Piedmont Medical Care Corporation (Atlanta, GA) and Piedmont Professional Services, LLC (Stockbridge, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Nicoletti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Nicoletti accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Jessica Nicoletti 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 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 3 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.
# Jessica Ann Nicoletti, NP · NPI 1215542329
Family physician in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since September 15, 2020.
## Identity
- **NPI:** 1215542329 (Entity type: Individual)
- **Enumerated:** September 15, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN237694 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1380 WOODSTOCK RD, Roswell, GA 30075-2141
- **Phone:** (702) 308-8750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA); Piedmont Professional Services, LLC (NPI 1104088905, Stockbridge, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215542329) · Data from the CMS NPPES public registry.