NICOLE GENTRY P.A. - NPI 1619017704 - Physician Assistant in Redondo Beach, CA

Q: What is Nicole Gentry's NPI number?

The NPI number for Nicole Gentry is 1619017704. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Nicole Gentry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Gentry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

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About Nicole Gentry P.a. NPPES

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

NICOLE GENTRY P.A. (NPI 1619017704) is an individual physician assistant in Redondo Beach, California, licensed in California (PA16112) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619017704

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE GENTRYCredential: P.A.

Location Address2114 ARTESIA BLVDRedondo Beach, CA 90278-3014

Mailing Address23430 Hawthorne Blvd, Bldg. 3, Suite 210Torrance, CA 90505-4720 · (310) 802-6177 · Fax (310) 802-6178

Phone(310) 802-6177

Fax(310) 802-6178

Sole ProprietorNo

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619017704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA16112

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.

2114 ARTESIA BLVD, Redondo Beach, CA 90278

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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 (PECOS)

Nicole Gentry P.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90278 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 11

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

SOUTH BAY FAMILY HEALTHCARE CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))