NICOLE MARIE DAISA ARNP
NPI 1861924516
Nurse Practitioner - Family in Walnut Creek, CA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
575 LENNON LN, WALNUT CREEK, CA 94598(925) 433-8786(925) 433-8788 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Aug 30, 2023, Jul 19, 2023 and 5 more (8 updates tracked since 2017).

About Nicole Marie Daisa Arnp NPPES

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

NICOLE MARIE DAISA ARNP (NPI 1861924516) is an individual family provider in Walnut Creek, California, licensed in California (95035040) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861924516
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE DAISACredential: ARNP
Location Address575 LENNON LNWalnut Creek, CA 94598-2443
Mailing Address575 Lennon LnWalnut Creek, CA 94598-2443 · (925) 433-8786 · Fax (925) 433-8788
Fax(925) 433-8788
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateJune 24, 20258 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1861924516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95035040✔ Licensed in WA · AP60782216
Also ListedRegistered NurseTaxonomy 163W00000X · License 95415429 (CA), RN60666816 (WA)
575 LENNON LN, Walnut Creek, CA 94598

Secondary Practice Locations 2

Location 13901 Hoyt AveEverett, WA 98201-4988 · Phone (425) 259-0966 · Fax (425) 335-5154
Location 29709 3rd Ave NESeattle, WA 98115-2062 · Phone (206) 860-2209

Other Identifiers 1

Medicaid2106150WA

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 Marie Daisa Arnp 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 ID7911267786
PECOS Enrollment IDI20250714000524
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 Reassignments

4

Medicare enrollment records show Nicole Daisa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magnetic Resonance Imaging (MRI)
2637 SHADELANDS DR
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Bass Medical Group
  • 347 clinicians in this Medicare group
Ambulatory Surgical
1229 MADISON ST, SUITE 1660
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 911 clinicians in this Medicare group
Orthopaedic Surgery
1200 112TH AVE NE STE C210
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group
Multi-Specialty
3901 HOYT AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 1,285 clinicians in this Medicare group

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 94598 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 8

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

Radiology (Radiation Oncology)
575 LENNON LN
WALNUT CREEK, CA 94598
Nurse Practitioner
575 LENNON LN
WALNUT CREEK, CA 94598
Internal Medicine (Medical Oncology)
575 LENNON LN
WALNUT CREEK, CA 94598
Internal Medicine (Hematology & Oncology)
575 LENNON LN
WALNUT CREEK, CA 94598
Radiology (Radiation Oncology)
575 LENNON LN
WALNUT CREEK, CA 94598
Surgery
575 LENNON LN
WALNUT CREEK, CA 94598
Physician Assistant
575 LENNON LN
WALNUT CREEK, CA 94598
Radiology (Radiation Oncology)
575 LENNON LN
WALNUT CREEK, CA 94598

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 Daisa's NPI number?

The NPI number for Nicole Daisa is 1861924516. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Nicole Daisa located?

Nicole Daisa practices at 575 Lennon Ln, Walnut Creek, CA 94598. The listed phone number is (925) 433-8786.

What is Nicole Daisa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Daisa enrolled in Medicare?

Yes. Nicole Daisa 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 organizations bill Medicare for Nicole Daisa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Daisa reassigns Medicare benefits to 4 organizations: Bay Area Surgical Specialists Inc A Medical Corporation (Walnut Creek, CA), The Polyclinic (Seattle, WA), Bellevue Orthopedic Physicians PLLC (Bellevue, WA) and Optum Care Washington PLLC (Everett, WA). Each 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 Daisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Daisa was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.