NICOLE FISS
NPI 1265905236
Physician Assistant - Medical in Pasadena, CA

Active since January 02, 2019PECOS Enrolled
1045 N LAKE AVE, PASADENA, CA 91104(626) 798-0706 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2019, Jan 2, 2019 (2 updates tracked since 2019).

About Nicole Fiss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE FISS (NPI 1265905236) is an individual medical provider in Pasadena, California and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265905236
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE FISS
Location Address1045 N LAKE AVEPasadena, CA 91104-4521
Mailing Address1045 N Lake AvePasadena, CA 91104-4521 · (626) 798-0706
Sole ProprietorNo
Enumeration DateJanuary 2, 2019
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
NPI 1265905236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1045 N LAKE AVE, Pasadena, CA 91104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Fiss is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 14

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

Clinic/Center (Community Health)
1045 N LAKE AVE
PASADENA, CA 91104
Registered Nurse (Women's Health Care, Ambulatory)
1045 N LAKE AVE
PASADENA, CA 91104
Nurse Practitioner
1045 N LAKE AVE
PASADENA, CA 91104
Nurse Practitioner (Family)
1045 N LAKE AVE
PASADENA, CA 91104
Nurse Practitioner
1045 N LAKE AVE
PASADENA, CA 91104
Nurse Practitioner (Family)
1045 N LAKE AVE
PASADENA, CA 91104
Registered Nurse
1045 N LAKE AVE
PASADENA, CA 91104
Advanced Practice Midwife
1045 N LAKE AVE
PASADENA, CA 91104

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 Fiss's NPI number?

The NPI number for Nicole Fiss is 1265905236. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Where is Nicole Fiss located?

Nicole Fiss practices at 1045 N Lake Ave, Pasadena, CA 91104. The listed phone number is (626) 798-0706.

What is Nicole Fiss's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Fiss enrolled in Medicare?

Yes. Nicole Fiss is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Fiss was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.