NICHOLAS FATOLITIS APRN
NPI 1659055309
Nurse Practitioner - Gerontology in Temple Terrace, FL

Q: What is Nicholas Fatolitis's NPI number?

The NPI number for Nicholas Fatolitis is 1659055309. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Q: What is Nicholas Fatolitis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since June 13, 2023PECOS EnrolledAccepts Medicare Assignment

13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 779-6303 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2025, Dec 12, 2023, Jun 13, 2023 (3 updates tracked since 2023).

On this page

About Nicholas Fatolitis Aprn NPPES

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

NICHOLAS FATOLITIS APRN (NPI 1659055309) is an individual gerontology provider in Temple Terrace, Florida, licensed in Florida (APRN11026912) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659055309

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameNICHOLAS FATOLITISCredential: APRN

Location Address13067 N TELECOM PKWYTemple Terrace, FL 33637-0926

Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038 · Fax (813) 974-0483

Phone(813) 779-6303

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 13, 2023

Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1659055309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11026912

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11026912 (FL)

13067 N TELECOM PKWY, Temple Terrace, FL 33637

Open in Google Maps ↗

Other Identifiers 2

Medicaid119184800FL

OtherVWY53FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Fatolitis Aprn 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 ID4880056118

PECOS Enrollment IDI20230817001945

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicholas Fatolitis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Service Association Inc

3.0 mi

Psychiatry

3515 E FLETCHER AVE, MDC 14
Tampa, FL 33613

Reassigned Medicare billing, Florida enrollment
1,079 clinicians in this Medicare group

NPI 1205876125 (813) 974-8900

Florida Hospital Physician Group Inc

3.4 mi

Family Medicine

3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613

Reassigned Medicare billing, Florida enrollment
1,719 clinicians in this Medicare group

NPI 1174955256 (813) 336-5766

Florida Trauma Services, LLC

306 mi

Trauma Surgery

1703 LEWIS TURNER BLVD
Fort Walton Beach, FL 32547

Reassigned Medicare billing, Florida enrollment
77 clinicians in this Medicare group

NPI 1477296952 (850) 864-4033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100055

Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County

Emergency services

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 33637 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.

Other Providers at the Same Location NPPES 20

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

RYAN JAMES REED D.O.

Internal Medicine