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MR. NICOLAS CHARLES CONDREY PA-C
NPI 1659548949
Physician Assistant in Jacksonville Beach, FL

Active since May 15, 2008PECOS Enrolled
1320 ROBERTS DR STE 101, JACKSONVILLE BEACH, FL 32250(904) 241-7147(904) 376-3213 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, Oct 10, 2024, Nov 16, 2015 (3 updates tracked since 2015).

About Mr. Nicolas Charles Condrey Pa-c NPPES

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

MR. NICOLAS CHARLES CONDREY PA-C (NPI 1659548949) is an individual physician assistant in Jacksonville Beach, Florida, licensed in Florida (PA9104578) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659548949
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. NICOLAS CHARLES CONDREYCredential: PA-C
Location Address1320 ROBERTS DR STE 101Jacksonville Beach, FL 32250-3253
Mailing AddressPo Box 746652Atlanta, GA 30374-6652 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 241-7147
Fax(904) 376-3213
Sole ProprietorNo
Enumeration DateMay 15, 2008
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1659548949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9104578
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9104578 (FL)
1320 ROBERTS DR STE 101, Jacksonville Beach, FL 32250
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Other Identifiers 1

Medicaid012730800FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicolas Charles Condrey Pa-c 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 32250 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 13

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

ASHLEY SALIBA HILL PA-C
Physician Assistant
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
THOMAS CARENS HILTON MD
Internal Medicine (Cardiovascular Disease)
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
BAPTIST CARDIOLOGY, INC.
Internal Medicine (Cardiovascular Disease)
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
CHRISTOPHER OWEN AUSTIN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
MRS. KELLY M BUMGARNER PA-C
Physician Assistant
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
DR. MAEDEH GANJI M.D.
Internal Medicine (Cardiovascular Disease)
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
DR. GEORGE RAJA DIBU M.D.
Internal Medicine (Cardiovascular Disease)
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
DR. CARLOS M SOTOLONGO MD
Internal Medicine (Cardiovascular Disease)
1320 ROBERTS DR STE 101
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147

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 Nicolas Condrey's NPI number?

The NPI number for Nicolas Condrey is 1659548949. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Nicolas Condrey located?

Nicolas Condrey practices at 1320 Roberts Dr Ste 101, Jacksonville Beach, FL 32250. The listed phone number is (904) 241-7147.

What is Nicolas Condrey's specialty?

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

Is Nicolas Condrey enrolled in Medicare?

Yes. Nicolas Condrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolas Condrey was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.