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NICOLE AMBROSE PA-C
NPI 1780207449
Physician Assistant in San Diego, CA

Active since May 28, 2020PECOS Enrolled
89.3/100
CMS Quality Rating
1431 YOST DR, SAN DIEGO, CA 92109(760) 766-6809 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2022, Oct 18, 2021, Jul 19, 2021 and 1 more (4 updates tracked since 2020).

About Nicole Ambrose Pa-c NPPES

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

NICOLE AMBROSE PA-C (NPI 1780207449) is an individual physician assistant in San Diego, California, licensed in California (PA59843) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780207449
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE AMBROSECredential: PA-C
Location Address1431 YOST DRSan Diego, CA 92109-1347
Mailing Address1431 Yost DrSan Diego, CA 92109-1347
Phone(760) 766-6809
Sole ProprietorYes
Enumeration DateMay 28, 2020
Last NPPES UpdateDecember 7, 20224 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1780207449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA59843
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License PA59843 (CA)
1431 YOST DR, San Diego, CA 92109
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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 Ambrose Pa-c 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92109 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.65
Improvement Activities40

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 Ambrose's NPI number?

The NPI number for Nicole Ambrose is 1780207449. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Nicole Ambrose located?

Nicole Ambrose practices at 1431 Yost Dr, San Diego, CA 92109. The listed phone number is (760) 766-6809.

What is Nicole Ambrose's specialty?

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

Is Nicole Ambrose enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Ambrose was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.