NICOLE PHILLIPS NP
NPI 1265006399
Nurse Practitioner - Family in Los Angeles, CA
About Nicole Phillips Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE PHILLIPS NP (NPI 1265006399) is an individual family provider in Los Angeles, California, licensed in California (95018194) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Nicole Phillips 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 Nicole Phillips reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Panorama City, CA 91402
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- 11 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 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PANORAMA CITY, CA 91402
PANORAMA CITY, CA 91402
PANORAMA CITY, CA 91402
PANORAMA CITY, CA 91402
PANORAMA CITY, CA 91402
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 Phillips's NPI number?
The NPI number for Nicole Phillips is 1265006399. It was assigned to this individual provider in the NPPES registry on May 13, 2021.
Where is Nicole Phillips located?
Nicole Phillips practices at 13651 Willard St, Los Angeles, CA 91402. The listed phone number is (833) 574-2273.
What is Nicole Phillips's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Phillips enrolled in Medicare?
Yes. Nicole Phillips 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 Nicole Phillips's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Phillips reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Panorama City, CA) and Emergent Care Associates Inc (Tarzana, CA). 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 Nicole Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Phillips was last updated on May 8, 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.
# Nicole Phillips, NP · NPI 1265006399
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1265006399 (Entity type: Individual)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95018194 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13651 WILLARD ST, Los Angeles, CA 91402
- **Phone:** (833) 574-2273
## 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): Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA); Emergent Care Associates Inc (NPI 1770910986, Tarzana, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265006399) · Data from the CMS NPPES public registry.