VICTORIA GREEN NICKESON N.P.
NPI 1376657197
Nurse Practitioner - Family in Fort Lauderdale, FL

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
955 S FEDERAL HWY STE 215, FORT LAUDERDALE, FL 33316(657) 400-5180 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victoria Green Nickeson N.p. NPPES

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

VICTORIA GREEN NICKESON N.P. (NPI 1376657197) is an individual family provider in Fort Lauderdale, Florida, licensed in Florida (ARNP9267571) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1376657197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICTORIA GREEN NICKESONCredential: N.P.
Location Address955 S FEDERAL HWY STE 215Fort Lauderdale, FL 33316-1222
Mailing Address3700 W Sovereign PathLecanto, FL 34461-8071 · (352) 726-1731
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
NPI 1376657197 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 · ARNP9267571
955 S FEDERAL HWY STE 215, Fort Lauderdale, FL 33316

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

Victoria Green Nickeson N.p. 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 ID1658378260
PECOS Enrollment IDI20080319000568
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 33316 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 2

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

Internal Medicine (Hospice and Palliative Medicine)
955 S FEDERAL HWY STE 215
FORT LAUDERDALE, FL 33316
Nurse Practitioner (Family)
955 S FEDERAL HWY STE 215
FORT LAUDERDALE, FL 33316

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 Victoria Nickeson's NPI number?

The NPI number for Victoria Nickeson is 1376657197. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Victoria Nickeson located?

Victoria Nickeson practices at 955 S Federal Hwy Ste 215, Fort Lauderdale, FL 33316. The listed phone number is (657) 400-5180.

What is Victoria Nickeson's specialty?

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

Is Victoria Nickeson enrolled in Medicare?

Yes. Victoria Nickeson 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.

When was this NPI record last updated?

The NPPES record for Victoria Nickeson was last updated on March 17, 2023. 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.