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NICOLE MARIE FUENTES
NPI 1578325718
Nurse Practitioner - Acute Care in Tampa, FL

Active since January 24, 2024PECOS EnrolledAccepts Medicare Assignment
1 TAMPA GENERAL CIR STE G-417, TAMPA, FL 33606(813) 844-7968 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 9, 2025, May 7, 2024 (2 updates tracked since 2024).

About Nicole Marie Fuentes NPPES

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

NICOLE MARIE FUENTES (NPI 1578325718) is an individual acute care provider in Tampa, Florida, licensed in Florida (APRN11030776) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1578325718
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE MARIE FUENTES
Location Address1 TAMPA GENERAL CIR STE G-417Tampa, FL 33606-3571
Mailing AddressPo Box 917770Orlando, FL 32891-0001
Phone(813) 844-7968
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 24, 2024
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1578325718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · APRN11030776
1 TAMPA GENERAL CIR STE G-417, Tampa, FL 33606
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Tampa General CirTampa, FL 33606-3571 · Phone (813) 821-8038

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Nicole Marie Fuentes 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 ID9739523655
PECOS Enrollment IDI20240220001003
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33606 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.

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 Fuentes's NPI number?

The NPI number for Nicole Fuentes is 1578325718. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Nicole Fuentes located?

Nicole Fuentes practices at 1 Tampa General Cir Ste G-417, Tampa, FL 33606. The listed phone number is (813) 844-7968.

What is Nicole Fuentes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Fuentes enrolled in Medicare?

Yes. Nicole Fuentes 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.

What insurance does Nicole Fuentes accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Nicole Fuentes 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.

Is Nicole Fuentes affiliated with any hospitals?

According to CMS data, Nicole Fuentes is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Fuentes was last updated on April 9, 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.