1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Physician Assistant
  6. NPI Profile

NICOLE CARLOS
NPI 1952079584
Physician Assistant in Seattle, WA

Active since August 30, 2021PECOS Enrolled
4311 11TH AVE NE STE 200, SEATTLE, WA 98105(206) 616-4001 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Carlos NPPES

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

NICOLE CARLOS (NPI 1952079584) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA61358249) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952079584
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE CARLOS
Location Address4311 11TH AVE NE STE 200Seattle, WA 98105-6367
Mailing Address4800 Sand Point Way NeSeattle, WA 98105-3901
Phone(206) 616-4001
Sole ProprietorNo
Enumeration DateAugust 30, 2021
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1952079584 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 WA · PA61358249
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.
4311 11TH AVE NE STE 200, Seattle, WA 98105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Carlos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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.

ROGER SHERMAN PA-C
Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (216) 616-4001
DARCY LEIGH MULLIGAN
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
MERON H MILES
Physician Assistant (Surgical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
ANDREW SCOTT MISCOVICH PA-S
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
LAURYN LOUISE CARR PA-C
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
MR. GABRIEL KRISTOPHER PUNAHELE IZUMI
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
JUNGSHENG SU
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001
QUINSEY CHERI JORGENSON-DELACRUZ
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
King County (206) 616-4001

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 Carlos's NPI number?

The NPI number for Nicole Carlos is 1952079584. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Nicole Carlos located?

Nicole Carlos practices at 4311 11th Ave NE Ste 200, Seattle, WA 98105. The listed phone number is (206) 616-4001.

What is Nicole Carlos's specialty?

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

Is Nicole Carlos enrolled in Medicare?

Yes. Nicole Carlos is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Carlos accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicole Carlos 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.

When was this NPI record last updated?

The NPPES record for Nicole Carlos was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.