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NICOLE CARNEVALLA RIDDELL M.D.
NPI 1750476537
Psychiatry & Neurology - Psychiatry in Tampa, FL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
5707 N 22ND ST, TAMPA, FL 33610(813) 239-8069(813) 272-3766 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Carnevalla Riddell M.d. NPPES

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

NICOLE CARNEVALLA RIDDELL M.D. (NPI 1750476537) is an individual psychiatry provider in Tampa, Florida, licensed in Florida (ME72658) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1993).

NPPES Registry Identity

NPI1750476537
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameNICOLE CARNEVALLA RIDDELLCredential: M.D.
Location Address5707 N 22ND STTampa, FL 33610-4350
Mailing Address5707 N 22nd StTampa, FL 33610-4350 · (813) 239-8069 · Fax (813) 272-3766
Phone(813) 239-8069
Fax(813) 272-3766
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1993
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 4, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1750476537 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 FL · ME72658
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.
5707 N 22ND ST, Tampa, FL 33610
Open in Google Maps ↗

Other Identifiers 1

Other41654XFL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Carnevalla Riddell 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 ID2062559644
PECOS Enrollment IDI20140409001350
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 Nicole Riddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ibis Healthcare Inc
Same address
Community/Behavioral Health
5707 N. 22ND STREET
Tampa, FL 33610
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
NPI 1346224011 (813) 239-8069

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 33610 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

DARLENE H ALLEN
Social Worker (Clinical)
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8000
RANDY E ROBINSON
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2878
TRACY LYNN GOELLNER BOHANNON
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2878
MR. JESSE THOMAS RIVERA BA
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069
MARGARITA TREVINO
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8447
BEATRIZ ALVAREZ
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2244
MARGARET ALEJANDRO RIVERA MA
Community Health Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069
ROSSMERY VILLAVICENCIO BA
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069

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 Riddell's NPI number?

The NPI number for Nicole Riddell is 1750476537. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Nicole Riddell located?

Nicole Riddell practices at 5707 N 22nd St, Tampa, FL 33610. The listed phone number is (813) 239-8069.

What is Nicole Riddell's specialty?

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

Is Nicole Riddell enrolled in Medicare?

Yes. Nicole Riddell 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.

Which organization bills Medicare for Nicole Riddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Riddell reassigns Medicare benefits to Ibis Healthcare Inc (Tampa, 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 Nicole Riddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Riddell accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Nicole Riddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Riddell was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.