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NICOLE MASANKO
NPI 1699669069
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Active since June 09, 2025PECOS EnrolledAccepts Medicare Assignment
1115 W CALL ST, TALLAHASSEE, FL 32304(850) 644-1855 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicole Masanko NPPES

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

NICOLE MASANKO (NPI 1699669069) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2025).

NPPES Registry Identity

NPI1699669069
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE MASANKO
Location Address1115 W CALL STTallahassee, FL 32304-3556
Mailing Address1115 W Call StTallahassee, FL 32304-3556
Phone(850) 644-1855
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2025
Enumeration DateJune 9, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1699669069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1115 W CALL ST, Tallahassee, FL 32304
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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 and accepts Medicare assignment

Nicole Masanko 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 ID5294216495
PECOS Enrollment IDI20260225003457
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.

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.

KATHRYN BOYLAN PA-C
Physician Assistant
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (850) 644-1855
ERIN GOLDEN
Student in an Organized Health Care Education/Training Program
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (850) 644-1855
HAYDEN SMITH
Student in an Organized Health Care Education/Training Program
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (850) 644-2525
FRANK ANDREW KOZEL MD MSCR
Psychiatry & Neurology (Psychiatry)
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (850) 644-1855
ALYSSA BROOKE CRUZ
Student in an Organized Health Care Education/Training Program
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (561) 609-8520
NATALIE DIANE MATTSON
Physician Assistant
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (850) 644-1855
JOHN LEVI PAYNE
Student in an Organized Health Care Education/Training Program
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (850) 644-1855
MAXIMILIAN DANGER SPEARMAN
Student in an Organized Health Care Education/Training Program
1115 W CALL ST
TALLAHASSEE, FL 32304
Leon County (404) 357-6602

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 Masanko's NPI number?

The NPI number for Nicole Masanko is 1699669069. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Nicole Masanko located?

Nicole Masanko practices at 1115 W Call St, Tallahassee, FL 32304. The listed phone number is (850) 644-1855.

What is Nicole Masanko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Masanko enrolled in Medicare?

Yes. Nicole Masanko 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.

When was this NPI record last updated?

The NPPES record for Nicole Masanko was last updated on June 9, 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.