NICOLE BRANDAO REDQUEST PA
NPI 1578318960
Physician Assistant in Tampa, FL

Active since April 19, 2024PECOS EnrolledAccepts Medicare Assignment
11809 N DALE MABRY HWY, TAMPA, FL 33618(813) 963-2020(813) 265-2842 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2025, Apr 19, 2024 (2 updates tracked since 2024).

About Nicole Brandao Redquest Pa NPPES

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

NICOLE BRANDAO REDQUEST PA (NPI 1578318960) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9118484) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578318960
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE BRANDAO REDQUESTCredential: PA
Location Address11809 N DALE MABRY HWYTampa, FL 33618-3505
Mailing Address11809 N Dale Mabry HwyTampa, FL 33618-3505 · (813) 963-2020 · Fax (813) 265-2842
Fax(813) 265-2842
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 19, 2024
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1578318960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in FL · PA9118484 Licensed in SC · MPA.5236
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11809 N DALE MABRY HWY, Tampa, FL 33618

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 Brandao Redquest Pa 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 ID7113458746
PECOS Enrollment IDI20241007001147
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 33618 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 9

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

Physical Therapist
11809 N DALE MABRY HWY
TAMPA, FL 33618
Physical Therapist
11809 N DALE MABRY HWY
TAMPA, FL 33618
Physical Therapist
11809 N DALE MABRY HWY
TAMPA, FL 33618
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
11809 N DALE MABRY HWY
TAMPA, FL 33618
Orthopaedic Surgery
11809 N DALE MABRY HWY
TAMPA, FL 33618
Orthopaedic Surgery
11809 N DALE MABRY HWY
TAMPA, FL 33618
Physical Therapist
11809 N DALE MABRY HWY
TAMPA, FL 33618
Physical Therapist
11809 N DALE MABRY HWY
TAMPA, FL 33618

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 Redquest's NPI number?

The NPI number for Nicole Redquest is 1578318960. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Nicole Redquest located?

Nicole Redquest practices at 11809 N Dale Mabry Hwy, Tampa, FL 33618. The listed phone number is (813) 963-2020.

What is Nicole Redquest's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Redquest enrolled in Medicare?

Yes. Nicole Redquest 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 Redquest was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.