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NICOLE ZAFFINO ARNP
NPI 1336167253
Nurse Practitioner - Adult Health in Middleburg, FL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
1658 ST VINCENTS WAY STE 240, MIDDLEBURG, FL 32068(904) 449-7288(904) 203-2173 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Mar 9, 2018 (2 updates tracked since 2018).

About Nicole Zaffino Arnp NPPES

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

NICOLE ZAFFINO ARNP (NPI 1336167253) is an individual adult health provider in Middleburg, Florida, licensed in Florida (9180089) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1336167253
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLE ZAFFINOCredential: ARNP
Location Address1658 ST VINCENTS WAY STE 240Middleburg, FL 32068-8459
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(904) 449-7288
Fax(904) 203-2173
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1336167253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 9180089
1658 ST VINCENTS WAY STE 240, Middleburg, FL 32068
Open in Google Maps ↗

Secondary Practice Location 1

Location 12001 Kingsley AveOrange Park, FL 32073-5148 · Phone (904) 276-2044 · Fax (904) 276-2106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Zaffino Arnp 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 ID2860418225
PECOS Enrollment IDI20051015000038
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Zaffino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincents Ambulatory Care Inc
17 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Borland Groover Clinic, PA
18 mi
Gastroenterology
4800 BELFORT RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 121 clinicians in this Medicare group
NPI 1881644912 (904) 398-7205

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,616 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,255 services163 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
141 services125 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services25 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32068 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

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

SHARON SCHWARTZ R.N.
Nurse Practitioner (Acute Care)
1658 ST VINCENTS WAY STE 240
MIDDLEBURG, FL 32068
Clay County (904) 449-7288

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 Zaffino's NPI number?

The NPI number for Nicole Zaffino is 1336167253. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Nicole Zaffino located?

Nicole Zaffino practices at 1658 St Vincents Way Ste 240, Middleburg, FL 32068. The listed phone number is (904) 449-7288.

What is Nicole Zaffino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicole Zaffino enrolled in Medicare?

Yes. Nicole Zaffino 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 organizations bill Medicare for Nicole Zaffino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Zaffino reassigns Medicare benefits to 2 organizations: St Vincents Ambulatory Care Inc (Jacksonville, FL) and Borland Groover Clinic, PA (Jacksonville, FL). Each 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 Zaffino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Zaffino accept?

Health plans from UnitedHealthcare list Nicole Zaffino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Zaffino affiliated with any hospitals?

According to CMS data, Nicole Zaffino is affiliated with Baptist Health Medical Center - Jacksonville, Mayo Clinic, Hca Florida Orange Park Hospital and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Nicole Zaffino was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.