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BEAU BRIAN NACKE
NPI 1952838898
Physician Assistant in Daytona Beach, FL

Active since May 22, 2017PECOS Enrolled
222 S PENINSULA DR, DAYTONA BEACH, FL 32118(904) 819-5155 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2017, May 22, 2017 (2 updates tracked since 2017).

About Beau Brian Nacke NPPES

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

BEAU BRIAN NACKE (NPI 1952838898) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (9110469) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952838898
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBEAU BRIAN NACKE
Location Address222 S PENINSULA DRDaytona Beach, FL 32118-4422
Mailing Address19038 Lake Swatara DrEustis, FL 32736-7709 · (352) 409-7943
Phone(904) 819-5155
Sole ProprietorNo
Enumeration DateMay 22, 2017
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1952838898 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 FL · 9110469
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.
222 S PENINSULA DR, Daytona Beach, FL 32118
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beau Brian Nacke 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 32118 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

AYESHA TABASSOM
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160
OMAID TARIQ
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160
ALISON PAIGE BUSCHER
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160
DEEPPREET SINGH MD
Internal Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160
LOREN CAPTAIN PA-C
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160
CHRISTOPHER GEORGE ROHNER DO
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160
BENJAMIN ALGREN ANDERSON PA-C
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160
JARED J RICH MD
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Volusia County (386) 310-2160

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 Beau Nacke's NPI number?

The NPI number for Beau Nacke is 1952838898. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Beau Nacke located?

Beau Nacke practices at 222 S Peninsula Dr, Daytona Beach, FL 32118. The listed phone number is (904) 819-5155.

What is Beau Nacke's specialty?

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

Is Beau Nacke enrolled in Medicare?

Yes. Beau Nacke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beau Nacke was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.