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NICOLE ANN JAFFE PH.D.
NPI 1649051194
Psychologist - Clinical in Fort Myers, FL

Active since October 11, 2023PECOS EnrolledAccepts Medicare Assignment
12499 BRANTLEY COMMONS CT STE 101, FORT MYERS, FL 33907(239) 278-3443 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Ann Jaffe Ph.d. NPPES

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

NICOLE ANN JAFFE PH.D. (NPI 1649051194) is an individual clinical provider in Fort Myers, Florida, licensed in Florida (PY12063) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649051194
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLE ANN JAFFECredential: PH.D.
Location Address12499 BRANTLEY COMMONS CT STE 101Fort Myers, FL 33907-5694
Mailing Address12499 Brantley Commons Ct Ste 101Fort Myers, FL 33907-5694 · (239) 278-3443
Phone(239) 278-3443
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1649051194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY12063
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12499 BRANTLEY COMMONS CT STE 101, Fort Myers, FL 33907
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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 Ann Jaffe Ph.d. 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 ID2365891371
PECOS Enrollment IDI20231214003902
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 33907 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 2

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

DR. MARISA BERMUDEZ PSYD
Psychologist
12499 BRANTLEY COMMONS CT STE 101
FORT MYERS, FL 33907
Lee County (239) 278-3443
ANLINH THI BUI PSY.D
Psychologist (Clinical)
12499 BRANTLEY COMMONS CT STE 101
FORT MYERS, FL 33907
Lee County (239) 278-3443

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 Jaffe's NPI number?

The NPI number for Nicole Jaffe is 1649051194. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Nicole Jaffe located?

Nicole Jaffe practices at 12499 Brantley Commons Ct Ste 101, Fort Myers, FL 33907. The listed phone number is (239) 278-3443.

What is Nicole Jaffe's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Jaffe enrolled in Medicare?

Yes. Nicole Jaffe 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 Jaffe accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Nicole Jaffe 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.

When was this NPI record last updated?

The NPPES record for Nicole Jaffe was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.