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NICOLE AILEEN ORTLIEB
NPI 1801663539
Physician Assistant in Fernandina Beach, FL

Active since December 04, 2023PECOS Enrolled
96112 LANCEFORD LN, FERNANDINA BEACH, FL 32034(301) 520-0658 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Aileen Ortlieb NPPES

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

NICOLE AILEEN ORTLIEB (NPI 1801663539) is an individual physician assistant in Fernandina Beach, Florida, licensed in Florida (1200729) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801663539
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE AILEEN ORTLIEB
Location Address96112 LANCEFORD LNFernandina Beach, FL 32034-6197
Mailing Address96112 Lanceford LnFernandina Beach, FL 32034-6197 · (301) 520-0658
Phone(301) 520-0658
Sole ProprietorYes
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1801663539 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 · 1200729
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.
96112 LANCEFORD LN, Fernandina Beach, FL 32034
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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 Aileen Ortlieb 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 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.

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 Ortlieb's NPI number?

The NPI number for Nicole Ortlieb is 1801663539. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Nicole Ortlieb located?

Nicole Ortlieb practices at 96112 Lanceford Ln, Fernandina Beach, FL 32034. The listed phone number is (301) 520-0658.

What is Nicole Ortlieb's specialty?

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

Is Nicole Ortlieb enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Ortlieb was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.