NICOLE ANTAO PA
NPI 1942450986
Physician Assistant in Indianapolis, IN

Active since September 26, 2008PECOS EnrolledAccepts Medicare Assignment
7120 CLEARVISTA DR, SUITE 2100, INDIANAPOLIS, IN 46256(317) 621-2740(317) 621-5658 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Antao Pa NPPES

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

NICOLE ANTAO PA (NPI 1942450986) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10001023) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942450986
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ANTAOCredential: PA
Location Address7120 CLEARVISTA DR, SUITE 2100Indianapolis, IN 46256-1621
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2805 · (317) 621-9002
Fax(317) 621-5658
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 26, 2008
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 19, 2020
NPI 1942450986 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 IN · 10001023
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.

7120 CLEARVISTA DR, Indianapolis, IN 46256

Other Identifiers 1

OtherP01212100IN · Rr Medicare Ptan

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 Antao Pa 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 ID6406924869
PECOS Enrollment IDI20081013000204
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.

Hospital Affiliations CMS Care Compare 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$14.55 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier16 claims16 services$774.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier30 claims30 services$66.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse (Registered Nurse First Assistant)
7120 CLEARVISTA DR, SUITE 4000
INDIANAPOLIS, IN 46256
Pediatrics (Neurodevelopmental Disabilities)
7120 CLEARVISTA DR, SUITE 3700
INDIANAPOLIS, IN 46256
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
7120 CLEARVISTA DR, SUITE 5300
INDIANAPOLIS, IN 46256
Internal Medicine (Critical Care Medicine)
7120 CLEARVISTA DR, STE 2100
INDIANAPOLIS, IN 46256
Internal Medicine (Pulmonary Disease)
7120 CLEARVISTA DR, STE 2100
INDIANAPOLIS, IN 46256
Internal Medicine
7120 CLEARVISTA DR, SUITE 2100
INDIANAPOLIS, IN 46256
Internal Medicine
7120 CLEARVISTA DR, SUITE 2100
INDIANAPOLIS, IN 46256
Physician Assistant (Medical)
7120 CLEARVISTA DR, SUITE 2100
INDIANAPOLIS, IN 46256

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 Antao's NPI number?

The NPI number for Nicole Antao is 1942450986. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Nicole Antao located?

Nicole Antao practices at 7120 Clearvista Dr Suite 2100, Indianapolis, IN 46256. The listed phone number is (317) 621-2740.

What is Nicole Antao's specialty?

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

Is Nicole Antao enrolled in Medicare?

Yes. Nicole Antao 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.

What insurance does Nicole Antao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nicole Antao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Antao affiliated with any hospitals?

According to CMS data, Nicole Antao is affiliated with Community Hospital East and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Nicole Antao was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.