MRS. NICOLE VIDAL N.P.
NPI 1376903724
Nurse Practitioner in Santa Ana, CA

Active since February 28, 2016PECOS EnrolledAccepts Medicare Assignment
800 N MAIN ST, SANTA ANA, CA 92701(657) 282-6355 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2023, Dec 23, 2020, Oct 2, 2019 and 4 more (7 updates tracked since 2016).

About Mrs. Nicole Vidal N.p. NPPES

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

MRS. NICOLE VIDAL N.P. (NPI 1376903724) is an individual nurse practitioner in Santa Ana, California, licensed in California (95003916) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Ana, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376903724
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. NICOLE VIDALCredential: N.P.
Location Address800 N MAIN STSanta Ana, CA 92701-3576
Mailing Address800 N Main StSanta Ana, CA 92701-3576
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 28, 2016
Last NPPES UpdateJanuary 17, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1376903724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95003916
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95003916 (CA)
800 N MAIN ST, Santa Ana, CA 92701

Other Names 1

Former Name (1)Nicole Rossi N.p.

Secondary Practice Location 1

Location 11014 N BroadwaySanta Ana, CA 92701-3408 · Phone (949) 270-2100

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

Mrs. Nicole Vidal 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 ID1850690785
PECOS Enrollment IDI20160427002470
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

7

Medicare enrollment records show Nicole Vidal reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
800 N MAIN ST
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1014 N. BROADWAY
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
Family Medicine
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
Emergency Medicine
1050 LINDEN AVE
Long Beach, CA 90813
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Stephen R Shea MD Inc
  • 50 clinicians in this Medicare group
Urgent Care
4237 ATLANTIC AVE
Long Beach, CA 90807
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Emergency Medicine
1145 W REDONDO BEACH BLVD
Gardena, CA 90247
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
Interventional Cardiology
300 PALMETTO HEALTH PKWY STE 400
Columbia, SC 29212
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92701 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

Family Medicine
800 N MAIN ST
SANTA ANA, CA 92701
Family Medicine
800 N MAIN ST
SANTA ANA, CA 92701
Pharmacy (Clinic Pharmacy)
800 N MAIN ST
SANTA ANA, CA 92701
Student in an Organized Health Care Education/Training Program
800 N MAIN ST
SANTA ANA, CA 92701
Student in an Organized Health Care Education/Training Program
800 N MAIN ST
SANTA ANA, CA 92701
Family Medicine
800 N MAIN ST
SANTA ANA, CA 92701
Family Medicine
800 N MAIN ST
SANTA ANA, CA 92701
Family Medicine
800 N MAIN ST
SANTA ANA, CA 92701

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 Vidal's NPI number?

The NPI number for Nicole Vidal is 1376903724. It was assigned to this individual provider in the NPPES registry on February 28, 2016. The provider is also known as Nicole Rossi N.P..

Where is Nicole Vidal located?

Nicole Vidal practices at 800 N Main St, Santa Ana, CA 92701. The listed phone number is (657) 282-6355.

What is Nicole Vidal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Vidal enrolled in Medicare?

Yes. Nicole Vidal 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 Vidal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Vidal reassigns Medicare benefits to 7 organizations: University Of California Irvine (Santa Ana, CA), Share Our Selves Corporation (Santa Ana, CA), Regents Of The University Of (Orange, CA), Stephen R. Shea, M.D., Inc. (Long Beach, CA), Reddy Urgent Care,inc (Long Beach, CA) and 2 more organizations, listed in the Medicare section above. 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 Vidal'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 Nicole Vidal was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.