NICOLE LEDERMAN M.D.
NPI 1699152694
Psychiatry & Neurology - Psychiatry in Redwood City, CA

Q: What is Nicole Lederman's NPI number?

The NPI number for Nicole Lederman is 1699152694. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Q: What is Nicole Lederman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Lederman was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment

802 BREWSTER AVE, REDWOOD CITY, CA 94063(650) 363-4112 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2022, Dec 17, 2021, Sep 24, 2021 (3 updates tracked since 2021).

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About Nicole Lederman M.d. NPPES

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

NICOLE LEDERMAN M.D. (NPI 1699152694) is an individual psychiatry provider in Redwood City, California, licensed in California (A162076) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2015).

NPPES Registry Identity

NPI1699152694

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameNICOLE LEDERMANCredential: M.D.

Location Address802 BREWSTER AVERedwood City, CA 94063-1510

Mailing Address802 Brewster AveRedwood City, CA 94063-1510

Phone(650) 363-4112

Sole ProprietorNo

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2015

Enumeration DateApril 29, 2015

Last NPPES UpdateNovember 29, 20223 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1699152694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A162076

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

802 BREWSTER AVE, Redwood City, CA 94063

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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

Nicole Lederman M.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 ID1759695349

PECOS Enrollment IDI20211004000455

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 Nicole Lederman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Mateo County

Same address

Community/Behavioral Health

802 BREWSTER AVE
Redwood City, CA 94063

Reassigned Medicare billing, California enrollment
Medicare enrollment name: County Of San Mateo
597 clinicians in this Medicare group

NPI 1912926692 (650) 363-4111

Permanente Medical Group Inc

0.6 mi

Internal Medicine

1190 VETERANS BLVD
Redwood City, CA 94063

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1639252604 (650) 299-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94063 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 20

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

MS. JOAN L LANDO

Social Worker (School)