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DR. KRISTAL MARIE NICOLAS DNP, APRN,CPNP-AC/PC
NPI 1710848635
Pediatrics - Pediatric Critical Care Medicine in Tampa, FL

Active since November 20, 2025PECOS Enrolled
1 TAMPA GENERAL CIR, TAMPA, FL 33606(813) 844-7134 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2026, Nov 20, 2025 (2 updates tracked since 2025).

About Dr. Kristal Marie Nicolas Dnp, Aprn,cpnp-ac/pc NPPES

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

DR. KRISTAL MARIE NICOLAS DNP, APRN,CPNP-AC/PC (NPI 1710848635) is an individual pediatric critical care medicine provider in Tampa, Florida, licensed in Florida (9450165) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1710848635
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. KRISTAL MARIE NICOLASCredential: DNP, APRN,CPNP-AC/PC
Location Address1 TAMPA GENERAL CIRTampa, FL 33606-3571
Mailing Address1 Tampa General CirTampa, FL 33606-3571
Phone(813) 844-7134
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateNovember 20, 2025
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1710848635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in FL · 9450165
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License APRN11047386 (FL)
1 TAMPA GENERAL CIR, Tampa, FL 33606
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Secondary Practice Location 1

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 975-0410 · Fax (407) 975-0411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristal Marie Nicolas Dnp, Aprn,cpnp-ac/pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951865708
PECOS Enrollment IDI20260713001370
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 Reassignment

Medicare enrollment records show Kristal Nicolas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
77 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

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.

ROBERT DAVID MORSE CRNA
Nurse Anesthetist, Certified Registered
1 TAMPA GENERAL CIR, SUITE A327
TAMPA, FL 33606
Hillsborough County (813) 844-4396
ALEXANDER NYIRABU MD
Student in an Organized Health Care Education/Training Program
1 TAMPA GENERAL CIR, J402
TAMPA, FL 33606
Hillsborough County (813) 844-7412
JESSICA L ZAVESKY
Nurse Anesthetist, Certified Registered
1 TAMPA GENERAL CIR, SUITE A327
TAMPA, FL 33606
Hillsborough County (813) 844-4396
DR. RICARDO EMMANUEL RENDEL MD
Surgery (Surgical Critical Care)
1 TAMPA GENERAL CIR
TAMPA, FL 33606
Hillsborough County (813) 844-7000
SAMUEL THOMAS DAWSON CRNA
Nurse Anesthetist, Certified Registered
1 TAMPA GENERAL CIR
TAMPA, FL 33606
Hillsborough County (813) 844-7000
WILLIAM MATTHEW MARTIN SRNA
Nurse Anesthetist, Certified Registered
1 TAMPA GENERAL CIR
TAMPA, FL 33606
Hillsborough County (501) 413-3150
KYLE FERNANDEZ PA-C
Physician Assistant
1 TAMPA GENERAL CIR
TAMPA, FL 33606
Hillsborough County (813) 844-7000
JENNIFER BARINAS
Psychologist (Clinical)
1 TAMPA GENERAL CIR
TAMPA, FL 33606
Hillsborough County (813) 844-3541

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 Kristal Nicolas's NPI number?

The NPI number for Kristal Nicolas is 1710848635. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Kristal Nicolas located?

Kristal Nicolas practices at 1 Tampa General Cir, Tampa, FL 33606. The listed phone number is (813) 844-7134.

What is Kristal Nicolas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kristal Nicolas enrolled in Medicare?

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

Which organization bills Medicare for Kristal Nicolas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Nicolas reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristal Nicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristal Nicolas was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.