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NICOLE JAVIER DELOS SANTOS MD
NPI 1477296143
Family Medicine in Tacoma, WA

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 441-4742(253) 442-8790 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Javier Delos Santos Md NPPES

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

NICOLE JAVIER DELOS SANTOS MD (NPI 1477296143) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD70013534) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Puyallup, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477296143
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE JAVIER DELOS SANTOSCredential: MD
Location Address1202 MARTIN LUTHER KING JR WAYTacoma, WA 98405-3926
Mailing Address1007 39th Ave SePuyallup, WA 98374-2192 · (877) 828-4510 · Fax (844) 660-0690
Phone(253) 441-4742
Fax(253) 442-8790
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 19, 2022
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1477296143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD70013534
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1202 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
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Secondary Practice Location 1

Location 11007 39th Ave SEPuyallup, WA 98374-2192 · Phone (877) 828-4510 · Fax (844) 660-0690

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 Javier Delos Santos Md 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 ID9537541651
PECOS Enrollment IDI20251030003301
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 98405 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

MOSOPE SODA MD
Student in an Organized Health Care Education/Training Program
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 441-4742
KENNY AN NGUYEN RDH
Dental Hygienist
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 441-4743
LETICIA MOSS
Dental Hygienist
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 441-4743
ELIZABETH MARIE COOK DO
Student in an Organized Health Care Education/Training Program
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 441-4742
SEAN GEORGE DO
Student in an Organized Health Care Education/Training Program
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 441-4742
MARIELYS PORTAL CRESPO
Student in an Organized Health Care Education/Training Program
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 441-4742
ANDREA OHM NP
Nurse Practitioner (Family)
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 597-4550
JOSEPHINE ESHUN NP
Nurse Practitioner (Family)
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 597-4550

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 Delos Santos's NPI number?

The NPI number for Nicole Delos Santos is 1477296143. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Nicole Delos Santos located?

Nicole Delos Santos practices at 1202 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 441-4742.

What is Nicole Delos Santos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Delos Santos enrolled in Medicare?

Yes. Nicole Delos Santos 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 Delos Santos was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.