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NICOLE PHILLIPS NP
NPI 1265006399
Nurse Practitioner - Family in Los Angeles, CA

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment
13651 WILLARD ST, LOS ANGELES, CA 91402(833) 574-2273 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Mar 27, 2023, Dec 14, 2021 and 4 more (7 updates tracked since 2021).

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

NPI1265006399
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE PHILLIPSCredential: NP
Location Address13651 WILLARD STLos Angeles, CA 91402
Mailing Address23983 Avenida CrescentaValencia, CA 91355-3101 · (661) 309-7429
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 13, 2021
Last NPPES UpdateMay 8, 20237 updates tracked since enumeration
NPPES CertifiedApril 27, 2023
✔ NPI 1265006399 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 CA · 95018194
13651 WILLARD ST, Los Angeles, CA 91402
Open in Google Maps ↗

Secondary Practice Locations 2

Location 118751 Ventura Blvd Ste 100Tarzana, CA 91356-3372 · Phone (818) 213-1693
Location 214355 Miranda WayLos Altos Hills, CA 94022-2032 · Phone (888) 731-8994

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

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.

PECOS PAC ID749676492
PECOS Enrollment IDI20220405001649
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 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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

DR. NATALIE ROBINS CRNA
Nurse Anesthetist, Certified Registered
13651 WILLARD ST
PANORAMA CITY, CA 91402
Los Angeles County (833) 574-2273
YUMI CHRISTINE ISHIHARA MD
Emergency Medicine
13651 WILLARD ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
MONA ATASHIGOLESTAN AU.D.
Audiologist-Hearing Aid Fitter
13651 WILLARD ST
PANORAMA CITY, CA 91402
Los Angeles County (833) 574-2273
HEATHER R KLEIN CRNA
Nurse Anesthetist, Certified Registered
13651 WILLARD ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-4100
CHRISTOPHER GRANT TARRANT RN
Registered Nurse
13651 WILLARD ST
LOS ANGELES, CA 91402
Los Angeles County (833) 574-2273
SETH JIN KUTIK M.D.
Emergency Medicine
13651 WILLARD ST, EMERGENCY MEDICINE DEPARTMENT
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
MRS. GENEVIEVE MAE TATCO-VILLAMAYOR F.N.P.
Nurse Practitioner (Family)
13651 WILLARD ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2704
TYLER JONES
Anesthesiology
13651 WILLARD ST
LOS ANGELES, CA 91402
Los Angeles County (866) 362-4939

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.

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.