DR. NICOLE THEISS FOGWELL PHD
NPI 1396535894
Psychologist - Health in Miami, FL
About Dr. Nicole Theiss Fogwell Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE THEISS FOGWELL PHD (NPI 1396535894) is an individual health provider in Miami, Florida and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Nicole Theiss Fogwell Phd 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 Nicole Fogwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coral Gables, FL 33134
- Reassigned Medicare billing, Florida enrollment
- 109 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fogwell's NPI number?
The NPI number for Nicole Fogwell is 1396535894. It was assigned to this individual provider in the NPPES registry on May 8, 2025.
Where is Nicole Fogwell located?
Nicole Fogwell practices at 1695 NW 9th Ave Ste 2416, Miami, FL 33136. The listed phone number is (440) 212-2384.
What is Nicole Fogwell's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.
Is Nicole Fogwell enrolled in Medicare?
Yes. Nicole Fogwell 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 Nicole Fogwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Fogwell reassigns Medicare benefits to Sailor Health Medical PA (Coral Gables, FL). 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 Nicole Fogwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Fogwell accept?
Health plans from MedMutual list Nicole Fogwell 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.
When was this NPI record last updated?
The NPPES record for Nicole Fogwell was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dr. Nicole Theiss Fogwell, PHD · NPI 1396535894
Health provider in Miami, Florida. Individual provider, active in the CMS NPPES registry since May 8, 2025.
## Identity
- **NPI:** 1396535894 (Entity type: Individual)
- **Enumerated:** May 8, 2025
- **Primary specialty:** Psychologist - Health · taxonomy 103TH0004X
- **Sole proprietor:** No
## Practice location
- **Address:** 1695 NW 9TH AVE STE 2416, Miami, FL 33136-1409
- **Phone:** (440) 212-2384
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sailor Health Medical PA (NPI 1841012960, Coral Gables, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396535894) · Data from the CMS NPPES public registry.