ADELLE NICOLAS FNP
NPI 1285996629
Nurse Practitioner - Family in San Diego, CA
About Adelle Nicolas Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADELLE NICOLAS FNP (NPI 1285996629) is an individual family provider in San Diego, California, licensed in California (20815) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Adelle Nicolas Fnp 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 Adelle Nicolas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 1,598 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92121 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.
SAN DIEGO, CA 92121
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 Adelle Nicolas's NPI number?
The NPI number for Adelle Nicolas is 1285996629. It was assigned to this individual provider in the NPPES registry on June 12, 2012.
Where is Adelle Nicolas located?
Adelle Nicolas practices at 6195 Lusk Blvd Ste 250, San Diego, CA 92121. The listed phone number is (858) 859-1188.
What is Adelle Nicolas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Adelle Nicolas enrolled in Medicare?
Yes. Adelle Nicolas 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 Adelle Nicolas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adelle Nicolas reassigns Medicare benefits to Scripps Health (La Jolla, CA). 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 Adelle Nicolas'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 Adelle Nicolas was last updated on November 14, 2022. 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.
# Adelle Nicolas, FNP · NPI 1285996629
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 12, 2012.
## Identity
- **NPI:** 1285996629 (Entity type: Individual)
- **Enumerated:** June 12, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 20815 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6195 LUSK BLVD STE 250, San Diego, CA 92121-3715
- **Phone:** (858) 859-1188
## 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:** Scripps Health (NPI 1619108503, La Jolla, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285996629) · Data from the CMS NPPES public registry.