NICOLE DE GRAW
NPI 1265244719
Nurse Practitioner - Family in Jacksonville, FL

Q: 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.

Q: What is Nicole De Graw's specialty?

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

Q: 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 18 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.

Active since January 22, 2025PECOS EnrolledAccepts Medicare Assignment

6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216(813) 606-5315 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1265244719

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE DE GRAW

Location Address6817 SOUTHPOINT PKWY STE 203Jacksonville, FL 32216-6286

Mailing Address6817 Southpoint Pkwy Ste 203Jacksonville, FL 32216-6286

Phone(813) 606-5315

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1265244719 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 FL · 11034640

6817 SOUTHPOINT PKWY STE 203, Jacksonville, FL 32216

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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 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.

PECOS PAC ID446780555

PECOS Enrollment IDI20250204003962

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 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.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 12

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

JASON ALLEN

Nurse Practitioner (Primary Care)