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NICOLE YALDOO PA-C
NPI 1821698127
Physician Assistant in West Bloomfield, MI

Active since October 27, 2020Opted out of Medicare · through Apr 1, 2027
7035 ORCHARD LAKE RD STE 200, WEST BLOOMFIELD, MI 48322(248) 973-8408 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2023, Oct 27, 2020 (2 updates tracked since 2020).

About Nicole Yaldoo Pa-c NPPES

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

NICOLE YALDOO PA-C (NPI 1821698127) is an individual physician assistant in West Bloomfield, Michigan, licensed in Michigan (5601010270) and active in the NPI registry since October 2020. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1821698127
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE YALDOOCredential: PA-C
Location Address7035 ORCHARD LAKE RD STE 200West Bloomfield, MI 48322-3650
Mailing Address7035 Orchard Lake Rd Ste 200West Bloomfield, MI 48322-3650 · (248) 973-8408
Phone(248) 973-8408
Sole ProprietorNo
Enumeration DateOctober 27, 2020
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1821698127 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 MI · 5601010270
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.
7035 ORCHARD LAKE RD STE 200, West Bloomfield, MI 48322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Nicole Yaldoo Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Yaldoo's NPI number?

The NPI number for Nicole Yaldoo is 1821698127. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Nicole Yaldoo located?

Nicole Yaldoo practices at 7035 Orchard Lake Rd Ste 200, West Bloomfield, MI 48322. The listed phone number is (248) 973-8408.

What is Nicole Yaldoo's specialty?

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

Is Nicole Yaldoo enrolled in Medicare?

No. Nicole Yaldoo has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Yaldoo was last updated on January 12, 2023. 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.