MS. NICOLE LYN KODA APRN
NPI 1487234662
Nurse Practitioner - Family in Largo, FL

Q: What is Nicole Koda's NPI number?

The NPI number for Nicole Koda is 1487234662. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Nicole Koda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Koda was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment

13425 BELCHER RD S, LARGO, FL 33771(727) 221-9924(727) 303-3193 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Nicole Lyn Koda Aprn NPPES

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

MS. NICOLE LYN KODA APRN (NPI 1487234662) is an individual family provider in Largo, Florida, licensed in Florida (APRN11008160) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487234662

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. NICOLE LYN KODACredential: APRN

Location Address13425 BELCHER RD SLargo, FL 33771-4009

Mailing Address13425 Belcher Rd SLargo, FL 33771-4009 · (727) 221-9924 · Fax (727) 303-3193

Phone(727) 221-9924

Fax(727) 303-3193

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 12, 2021

NPPES CertifiedApril 12, 2021

✔ NPI 1487234662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11008160

13425 BELCHER RD S, Largo, FL 33771

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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

Ms. Nicole Lyn Koda Aprn 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 ID5395154330

PECOS Enrollment IDI20260310003943

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 33771 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 5

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

SAMUEL A PETTINA D.O.

Family Medicine