NICOLE DE GRAW
NPI 1265244719
Nurse Practitioner - Family in Jacksonville, FL
About Nicole De Graw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE DE GRAW (NPI 1265244719) is an individual family provider in Jacksonville, Florida, licensed in Florida (11034640) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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 De Graw 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 Reassignment
Medicare enrollment records show Nicole De Graw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 124 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 32216 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
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 De Graw's NPI number?
The NPI number for Nicole De Graw is 1265244719. It was assigned to this individual provider in the NPPES registry on January 22, 2025.
Where is Nicole De Graw located?
Nicole De Graw practices at 6817 Southpoint Pkwy Ste 203, Jacksonville, FL 32216. The listed phone number is (813) 606-5315.
What is Nicole De Graw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole De Graw enrolled in Medicare?
Yes. Nicole De Graw 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 organization bills Medicare for Nicole De Graw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole De Graw reassigns Medicare benefits to Cardiac Vision LLC (Jacksonville, FL). The 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 De Graw'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 De Graw was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 De Graw · NPI 1265244719
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since January 22, 2025.
## Identity
- **NPI:** 1265244719 (Entity type: Individual)
- **Enumerated:** January 22, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11034640 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6817 SOUTHPOINT PKWY STE 203, Jacksonville, FL 32216-6286
- **Phone:** (813) 606-5315
## 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:** Cardiac Vision LLC (NPI 1144651373, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265244719) · Data from the CMS NPPES public registry.