NICOLE CARR KIMBERLING WAHLER PA-C
NPI 1740086941
Physician Assistant in Fort Myers, FL

Q: What is Nicole Wahler's NPI number?

The NPI number for Nicole Wahler is 1740086941. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Q: What is Nicole Wahler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Wahler was last updated on March 9, 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.

Active since February 20, 2025PECOS EnrolledAccepts Medicare Assignment

9981 S HEALTHPARK DR, FORT MYERS, FL 33908(239) 343-6260(239) 343-6259 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, May 14, 2025, Feb 20, 2025 (3 updates tracked since 2025).

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About Nicole Carr Kimberling Wahler Pa-c NPPES

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

NICOLE CARR KIMBERLING WAHLER PA-C (NPI 1740086941) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9121139) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1740086941

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE CARR KIMBERLING WAHLERCredential: PA-C

Location Address9981 S HEALTHPARK DRFort Myers, FL 33908-3618

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6260 · Fax (239) 343-6259

Phone(239) 343-6260

Fax(239) 343-6259

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 20, 2025

Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1740086941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9121139

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.

9981 S HEALTHPARK DR, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 11201 S Grand BlvdSaint Louis, MO 63104-1016 · Phone (314) 257-1320

Other Identifiers 1

Medicaid129974400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 Carr Kimberling Wahler Pa-c 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 ID648794719

PECOS Enrollment IDI20250410000670

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.

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

DR. SREEDHAR GELLI M.D.

Hospitalist