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NICOLE C WASCHAK M.D.
NPI 1417211707
Obstetrics & Gynecology in Mission Hills, CA

Active since July 01, 2012PECOS EnrolledAccepts Medicare Assignment
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 365-9531 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2017, Dec 20, 2016, Nov 4, 2016 (3 updates tracked since 2016).

About Nicole C Waschak M.d. NPPES

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

NICOLE C WASCHAK M.D. (NPI 1417211707) is an individual obstetrics & gynecology provider in Mission Hills, California, licensed in California (A139531) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417211707
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE C WASCHAKCredential: M.D.
Location Address11333 SEPULVEDA BLVDMission Hills, CA 91345-1116
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559 · Fax (818) 792-4793
Phone(818) 365-9531
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 1, 2012
Last NPPES UpdateFebruary 28, 20173 updates tracked since enumeration
✔ NPI 1417211707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · A139531✔ Licensed in MI · 4301100576
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11333 SEPULVEDA BLVD, Mission Hills, CA 91345
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Other Names 1

Former Name (1)Nicole Colleen Smidt M.d.

Other Identifiers 2

Medicare PINCB264001CA
Medicaid00A1395310CA

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

Nicole C Waschak M.d. 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 ID8820397029
PECOS Enrollment IDI20161021002017
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 91345 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

SARTHI RAKSHEN SHAH M.D.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
ARMIN TAHOORI M.D.
Hospitalist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
DR. HENIE FIALKOFF M.D.
Pediatrics
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7200
JENNIFER ANN SHIELDS RPT.
Physical Therapist
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
SIMON DARDASHTI M.D.
Anesthesiology
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 869-7726
ROHIT R KEDIA D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
TRICIA A SCHREINER-DUNCAN P.A.
Physician Assistant
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531
SOURABH SURYADEVARA M.D.
Internal Medicine
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Los Angeles County (818) 365-9531

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 Waschak's NPI number?

The NPI number for Nicole Waschak is 1417211707. It was assigned to this individual provider in the NPPES registry on July 1, 2012. The provider is also known as Nicole Colleen Smidt M.D..

Where is Nicole Waschak located?

Nicole Waschak practices at 11333 Sepulveda Blvd, Mission Hills, CA 91345. The listed phone number is (818) 365-9531.

What is Nicole Waschak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Waschak enrolled in Medicare?

Yes. Nicole Waschak 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 Nicole Waschak was last updated on February 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.