MS. NICOLLE DE SIQUEIRA PA
NPI 1942916440
Physician Assistant - Medical in North Miami, FL

Q: What is Nicolle De Siqueira's NPI number?

The NPI number for Nicolle De Siqueira is 1942916440. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Q: What is Nicolle De Siqueira's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since January 27, 2023PECOS EnrolledAccepts Medicare Assignment

11645 BISCAYNE BLVD STE 100, NORTH MIAMI, FL 33181(305) 538-8835(305) 994-0054 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2025, Nov 18, 2024, Aug 23, 2023 and 2 more (5 updates tracked since 2023).

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About Ms. Nicolle De Siqueira Pa NPPES

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

MS. NICOLLE DE SIQUEIRA PA (NPI 1942916440) is an individual medical provider in North Miami, Florida, licensed in Florida (PA9117049) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942916440

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. NICOLLE DE SIQUEIRACredential: PA

Location Address11645 BISCAYNE BLVD STE 100North Miami, FL 33181-3155

Mailing Address11645 Biscayne Blvd Ste 207North Miami, FL 33181-3138 · (305) 538-8835 · Fax (305) 994-0054

Phone(305) 538-8835

Fax(305) 994-0054

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 27, 2023

Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1942916440 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 · PA9117049

11645 BISCAYNE BLVD STE 100, North Miami, FL 33181

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Other Identifiers 1

Medicaid117047800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AmeriHealth Caritas Next and more.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

Ms. Nicolle De Siqueira 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 ID7719350701

PECOS Enrollment IDI20230221003288

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.

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.

ESTER AVERO PA

Physician Assistant (Medical)