NICOLE LOUIS PHYSICIAN ASSISTANT
NPI 1912467598
Physician Assistant - Medical in Mangonia Park, FL

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
901 45TH ST, MANGONIA PARK, FL 33407(561) 844-6300 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2020, Mar 21, 2019 (2 updates tracked since 2019).

About Nicole Louis Physician Assistant NPPES

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

NICOLE LOUIS PHYSICIAN ASSISTANT (NPI 1912467598) is an individual medical provider in Mangonia Park, Florida, licensed in Florida (9112025) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Lawnwood Hospital, and maintains a secondary practice location in Palm Beach Gardens.

NPPES Registry Identity

NPI1912467598
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE LOUISCredential: PHYSICIAN ASSISTANT
Location Address901 45TH STMangonia Park, FL 33407-2413
Mailing Address3375 Burns Rd, Suite 206Palm Beach Garden, FL 33410-4349 · (561) 799-9559
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2019
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
NPI 1912467598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · 9112025
901 45TH ST, Mangonia Park, FL 33407

Secondary Practice Location 1

Location 13375 Burns Rd Ste 206Palm Beach Gardens, FL 33410-4361 · Phone (561) 799-9559 · Fax (561) 799-9577

Accepted Insurance

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 Louis Physician Assistant 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 ID1052853363
PECOS Enrollment IDI20240602000054
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
901 45TH ST
WEST PALM BEACH, FL 33407
Specialist
901 45TH ST, KAPLAN CANCER CENTER, ST MARYS HOSPITAL
WEST PALM BEACH, FL 33407
Emergency Medicine
901 45TH ST
WEST PALM BEACH, FL 33407
Pediatrics
901 45TH ST
WEST PALM BEACH, FL 33407
Emergency Medicine
901 45TH ST
WEST PALM BEACH, FL 33407
Nurse Practitioner (Neonatal, Critical Care)
901 45TH ST
WEST PALM BEACH, FL 33407
Nurse Practitioner (Neonatal, Critical Care)
901 45TH ST
WEST PALM BEACH, FL 33407
Nurse Practitioner (Neonatal)
901 45TH ST
WEST PALM BEACH, FL 33407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912467598, enumerated as an "individual" on March 21, 2019.

The provider is located at 901 45TH ST MANGONIA PARK, FL 33407 and the phone number is (561) 844-6300.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: AvMed. Please consult your insurance carrier or call the provider to verify.

Nicole Louis is affiliated with: HCA FLORIDA LAWNWOOD HOSPITAL.