Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE ROTHE PA-C, MS CCC-SLP
NPI 1740847128
Physician Assistant - Surgical in Jacksonville, FL

Q: What is Nicole Rothe's NPI number?

The NPI number for Nicole Rothe is 1740847128. It was assigned to this individual provider in the NPPES registry on May 21, 2019. The provider is also known as Nicole Nelsen.

Q: What is Nicole Rothe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Rothe was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 May 21, 2019PECOS Enrolled

2 SHIRCLIFF WAY STE 200, JACKSONVILLE, FL 32204(904) 308-2006 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, May 21, 2019 (2 updates tracked since 2019).

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About Nicole Rothe Pa-c, Ms Ccc-slp NPPES

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

NICOLE ROTHE PA-C, MS CCC-SLP (NPI 1740847128) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9122119) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740847128

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNICOLE ROTHECredential: PA-C, MS CCC-SLP

Location Address2 SHIRCLIFF WAY STE 200Jacksonville, FL 32204-4766

Mailing Address2 Shircliff Way Ste 200Jacksonville, FL 32204-4766 · (904) 308-2006

Phone(904) 308-2006

Sole ProprietorNo

Enumeration DateMay 21, 2019

Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1740847128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9122119

2 SHIRCLIFF WAY STE 200, Jacksonville, FL 32204

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Other Names 1

Former Name (1)Nicole Nelsen

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Rothe Pa-c, Ms Ccc-slp 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.

Other Providers at the Same Location NPPES 2

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

MRS. SAMANTHA ZINKOFSKY AGNP-C

Nurse Practitioner (Adult Health)

2 SHIRCLIFF WAY STE 200
JACKSONVILLE, FL 32204

Duval County (904) 308-2006

MR. JAMES WALKER APRN

Nurse Practitioner (Family)

2 SHIRCLIFF WAY STE 200
JACKSONVILLE, FL 32204

Duval County (904) 308-2006

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 Rothe's NPI number?

The NPI number for Nicole Rothe is 1740847128. It was assigned to this individual provider in the NPPES registry on May 21, 2019. The provider is also known as Nicole Nelsen.

Where is Nicole Rothe located?

Nicole Rothe practices at 2 Shircliff Way Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 308-2006.

What is Nicole Rothe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Rothe enrolled in Medicare?

Yes. Nicole Rothe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Rothe was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.