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MS. NICOLE B EARLEY PA
NPI 1598702102
Physician Assistant - Medical in Ponte Vedra Beach, FL

Active since June 01, 2006PECOS Enrolled
103 SOLANA RD STE B, PONTE VEDRA BEACH, FL 32082(904) 273-2717(904) 273-0410 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ms. Nicole B Earley Pa NPPES

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

MS. NICOLE B EARLEY PA (NPI 1598702102) is an individual medical provider in Ponte Vedra Beach, Florida, licensed in Florida (PA9121949) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598702102
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. NICOLE B EARLEYCredential: PA
Location Address103 SOLANA RD STE BPonte Vedra Beach, FL 32082-2231
Mailing Address103 Solana Road Suite BPonte Vedra Beach, FL 32082 · (904) 273-2717 · Fax (904) 273-0410
Phone(904) 273-2717
Fax(904) 273-0410
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1598702102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9121949
103 SOLANA RD STE B, Ponte Vedra Beach, FL 32082
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1614 E Twincourt TrlSaint Augustine, FL 32095-9090 · Phone (904) 808-7107 · Fax (904) 287-8885
Location 2791 Amelia Island PkwyFernandina Beach, FL 32034-9126 · Phone (904) 261-7500 · Fax (904) 261-2166

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole B Earley Pa 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.

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.

BAO YANG PA-C
Physician Assistant (Medical)
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 273-2717
DARIAN VINES PHYSICIAN ASSISTANT
Physician Assistant
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 273-2717
DR. BLAKE WILLIAM BOUDREAUX MD
Dermatology
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 273-2717
BEACHES DERMATOLOGY, P.A.
Specialist
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 273-2717
MELISSA GAGLIARDI ARNP
Nurse Practitioner
103 SOLANA RD STE B
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 273-2717

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 Earley's NPI number?

The NPI number for Nicole Earley is 1598702102. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Nicole Earley located?

Nicole Earley practices at 103 Solana Rd Ste B, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 273-2717.

What is Nicole Earley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Earley enrolled in Medicare?

Yes. Nicole Earley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Earley was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.