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GINA M NICOLOSO
NPI 1417487224
Dentist in Tallahassee, FL

Active since June 14, 2017PECOS Enrolled
3120 MAHAN DRIVE, TALLAHASSEE, FL 32308(217) 540-5100(877) 635-3298 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gina M Nicoloso NPPES

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

GINA M NICOLOSO (NPI 1417487224) is an individual dentist in Tallahassee, Florida, licensed in Florida (DN22618) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417487224
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameGINA M NICOLOSO
Location Address3120 MAHAN DRIVETallahassee, FL 32308
Mailing Address3120 Mahan DriveTallahassee, FL 32308 · (217) 540-5100 · Fax (877) 635-3298
Phone(217) 540-5100
Fax(877) 635-3298
Sole ProprietorNo
Enumeration DateJune 14, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1417487224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN22618
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3120 MAHAN DRIVE, Tallahassee, FL 32308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina M Nicoloso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32308 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

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

GEORGE M JUSU DDS
Dentist
3120 MAHAN DRIVE
TALLAHASSEE, FL 32308
Leon County (217) 540-8386
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Dentist (General Practice)
3120 MAHAN DRIVE
TALLAHASSEE, FL 32308
Leon County (850) 252-8214

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 Gina Nicoloso's NPI number?

The NPI number for Gina Nicoloso is 1417487224. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Gina Nicoloso located?

Gina Nicoloso practices at 3120 Mahan Drive, Tallahassee, FL 32308. The listed phone number is (217) 540-5100.

What is Gina Nicoloso's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Gina Nicoloso enrolled in Medicare?

Yes. Gina Nicoloso is registered in the Medicare PECOS enrollment system.

What insurance does Gina Nicoloso accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 9 other insurers list Gina Nicoloso 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 Gina Nicoloso was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.