DR. NIKOLAUS STAFFAN HJELM MD
NPI 1942610761
Otolaryngology - Facial Plastic Surgery in Miami, FL

Q: What is Nikolaus Hjelm's NPI number?

The NPI number for Nikolaus Hjelm is 1942610761. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Q: What is Nikolaus Hjelm's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Q: When was this NPI record last updated?

The NPPES record for Nikolaus Hjelm was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 01, 2014PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1611 NW 12TH AVE, CENTRAL BLDG., ROOM 600D, MIAMI, FL 33136(305) 585-5215 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Nikolaus Staffan Hjelm Md NPPES

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

DR. NIKOLAUS STAFFAN HJELM MD (NPI 1942610761) is an individual facial plastic surgery provider in Miami, Florida, licensed in New Jersey (25MA10982000) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2014).

NPPES Registry Identity

NPI1942610761

Entity TypeIndividualMale

Primary Taxonomy207YS0123X

Provider Legal NameDR. NIKOLAUS STAFFAN HJELMCredential: MD

Location Address1611 NW 12TH AVE, CENTRAL BLDG., ROOM 600DMiami, FL 33136-1005

Mailing Address1611 Nw 12th Ave, Central Bldg., Room 600dMiami, FL 33136-1005 · (305) 585-5215

Phone(305) 585-5215

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2014

Enumeration DateMay 1, 2014

Last NPPES UpdateDecember 29, 2020

NPPES CertifiedDecember 29, 2020

✔ NPI 1942610761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in NJ · 25MA10982000

Definition

An otolaryngologist who specializes in facial plastic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1611 NW 12TH AVE, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Dr. Nikolaus Staffan Hjelm 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 ID3870814254

PECOS Enrollment IDI20210105000232

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 Reassignment

Medicare enrollment records show Nikolaus Hjelm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC

1,018 mi

Pediatrics

401 ROUTE 73 N STE 320
Marlton, NJ 08053

Reassigned Medicare billing, New Jersey enrollment
909 clinicians in this Medicare group

NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

856 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

164 services126 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

126 services126 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

119 services112 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

117 services110 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

112 services92 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

100 services78 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

74 services74 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

56 services47 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

47 services44 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

17 services17 patients

Control of bleeding of nose using an endoscope 31238

This is a procedure where an endoscope, a thin tube with a light and camera, is used to view inside your nose. This allows the doctor to locate the source of the bleeding and control it, often by cauterization or packing the nose.

13 services13 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

12 services11 patients

Diagnostic exam of voice box using a flexible endoscope 31575

11 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310057

Location175 Madison AveMount Holly, NJ 08060 · Burlington County

Emergency services Birthing friendly

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers19 claims19 services$26.11 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.

DR. AKUA GYANEWAH ASARE MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-8264

MARILUZ SANCHEZ PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136

Miami-Dade County (305) 585-7309

DR. TASHA JOYTI N. D. COOKE TASHA COOKE

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-3670

DR. JUANITA ANN MARIE HUNTER M.D.

Pediatrics (Pediatric Cardiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6042

WANDA LAVERNE MCGOWAN-BRAYNEN ARNP

Nurse Practitioner (Adult Health)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. PERTTI KALEVI HAKALA M.D.

Anesthesiology

1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

JAYLOU M VELEZ TORRES M.D.

Pathology (Anatomic Pathology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-8381

ANNE-ISABELLE SOPHIA REME MD

Surgery

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1280

ELIE SAMIR ALAM MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

CHRISTOPHER D NAVARRO MD

Anesthesiology

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

RENZO ALDERETE APRN

Nurse Practitioner

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

AAZIM SYED ARIF MD

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. VICTOR M. LU MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-6751

DR. MIRIAM MARTI MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 342-1919

ALVARO ALFONSO SOTO RINCON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (786) 769-0052

LANIEL ROMEUS JR.

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-7000

CAMILLE-KAE TORRE DNP, APRN, NNP-BC

Nurse Practitioner (Neonatal)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

NICOLE FARES MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

VERONICA NUNEZ

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

MARGO STAPLETON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-1350

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 Nikolaus Hjelm's NPI number?

The NPI number for Nikolaus Hjelm is 1942610761. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Where is Nikolaus Hjelm located?

Nikolaus Hjelm practices at 1611 NW 12th Ave Central Bldg., Room 600D, Miami, FL 33136. The listed phone number is (305) 585-5215.

What is Nikolaus Hjelm's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Nikolaus Hjelm enrolled in Medicare?

Yes. Nikolaus Hjelm 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 organization bills Medicare for Nikolaus Hjelm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikolaus Hjelm reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The 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 Nikolaus Hjelm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikolaus Hjelm accept?

Health plans from Oscar Health list Nikolaus Hjelm 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 Nikolaus Hjelm affiliated with any hospitals?

According to CMS data, Nikolaus Hjelm is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Nikolaus Hjelm was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.