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NICOLE DANIELLE PREMO MD
NPI 1912401779
Anesthesiology in Gainesville, FL

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1600 SW ARCHER RD DEPT OF, GAINESVILLE, FL 32610(352) 265-0077 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2022, Mar 19, 2018 (2 updates tracked since 2018).

About Nicole Danielle Premo Md NPPES

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

NICOLE DANIELLE PREMO MD (NPI 1912401779) is an individual anesthesiology provider in Gainesville, Florida, licensed in Florida (ME155371) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912401779
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameNICOLE DANIELLE PREMOCredential: MD
Location Address1600 SW ARCHER RD DEPT OFGainesville, FL 32610-3003
Mailing Address752 Turkey CrkAlachua, FL 32615-9311 · (720) 352-4998
Phone(352) 265-0077
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1912401779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · ME155371
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 SW ARCHER RD DEPT OF, Gainesville, FL 32610
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Danielle Roby

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 Danielle Premo Md 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 ID7113275959
PECOS Enrollment IDI20220811000344
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 2

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.

Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
15 services14 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

NOAH RUTHERFORD MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (352) 265-0916
DR. MOUAZ HAJ BAKRI MD
Internal Medicine
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (352) 294-8278
SUNAINA SHRESTHA
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (352) 265-7977
PADRAIC O'MALLEY MD
Urology
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (352) 273-9454
DR. MA'MOON MOHAMMAD AMIN AL-AHMAD MD
Internal Medicine
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (352) 294-8278
XIANRUI YANG
Dentist (Orthodontics and Dentofacial Orthopedics)
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (313) 327-9359
ELIZABETH KURIEN APRN
Nurse Practitioner
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (352) 273-8985
DR. ALI ZARRINPAR M.D.
Surgery
1600 SW ARCHER RD DEPT OF
GAINESVILLE, FL 32610
Alachua County (352) 265-0761

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 Premo's NPI number?

The NPI number for Nicole Premo is 1912401779. It was assigned to this individual provider in the NPPES registry on March 19, 2018. The provider is also known as Nicole Danielle Roby.

Where is Nicole Premo located?

Nicole Premo practices at 1600 SW Archer Rd Dept Of, Gainesville, FL 32610. The listed phone number is (352) 265-0077.

What is Nicole Premo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nicole Premo enrolled in Medicare?

Yes. Nicole Premo 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.

Is Nicole Premo affiliated with any hospitals?

According to CMS data, Nicole Premo is affiliated with Ascension St Vincent's Riverside, Ascension St Vincent's Southside, Ascension St Vincent's Clay County and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Nicole Premo was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.