NICOLE PAULINE DETRICK
NPI 1760172761
Physician Assistant in Jacksonville, FL

Q: What is Nicole Detrick's NPI number?

The NPI number for Nicole Detrick is 1760172761. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Q: What is Nicole Detrick'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 Detrick was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 11, 2023PECOS EnrolledAccepts Medicare Assignment

6269 BEACH BLVD, JACKSONVILLE, FL 32216(904) 727-7955 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Dec 14, 2024, May 11, 2023 (3 updates tracked since 2023).

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About Nicole Pauline Detrick NPPES

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

NICOLE PAULINE DETRICK (NPI 1760172761) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9119031) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760172761

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE PAULINE DETRICK

Location Address6269 BEACH BLVDJacksonville, FL 32216-2768

Mailing Address4513 Cobblefield Cir EJacksonville, FL 32224-7995 · (908) 303-4211

Phone(904) 727-7955

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 11, 2023

Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1760172761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9119031✔ Licensed in PA · MA064732

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.

6269 BEACH BLVD, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.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 Pauline Detrick 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 ID446604425

PECOS Enrollment IDI20241004002333

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

405 services342 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

311 services264 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

208 services193 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

175 services163 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

108 services95 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

81 services73 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

30 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

20 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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 9

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

FLORIDA PHYSICIAN SPECIALISTS LLC

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

DONALD A. BARNHORST JR. MD PA

Ophthalmology

6269 BEACH BLVD, SUITE 4
JACKSONVILLE, FL 32216

Duval County (904) 722-3937

DR. ALI KASRAEIAN MD

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

KASRAEIAN UROLOGY LLC

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

VAISHALI B DOOLABH MD

Surgery (Plastic and Reconstructive Surgery)

6269 BEACH BLVD, SUITE 1
JACKSONVILLE, FL 32216

Duval County (904) 854-4800

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

Urology

6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

AHMAD KASRAEIAN M.D.

Urology

6269 BEACH BLVD, STE 2
JACKSONVILLE, FL 32216

Duval County (904) 727-7955

DR. DONALD ANTHONY BARNHORST JR. M.D.

Ophthalmology

6269 BEACH BLVD, SUITE 4
JACKSONVILLE, FL 32216

Duval County (904) 722-3937

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 Detrick's NPI number?

The NPI number for Nicole Detrick is 1760172761. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Nicole Detrick located?

Nicole Detrick practices at 6269 Beach Blvd, Jacksonville, FL 32216. The listed phone number is (904) 727-7955.

What is Nicole Detrick's specialty?

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

Is Nicole Detrick enrolled in Medicare?

Yes. Nicole Detrick 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.

What insurance does Nicole Detrick accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Nicole Detrick 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.

Is Nicole Detrick affiliated with any hospitals?

According to CMS data, Nicole Detrick is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Nicole Detrick was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.