MRS. NICOLE MARIE ANTENUCCI P.A.
NPI 1972739852
Physician Assistant in Tripler Army Medical Center, HI

Active since June 04, 2009PECOS EnrolledAccepts Medicare Assignment
1 JARRETT WHITE RD, TAMC, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-7699 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nicole Marie Antenucci P.a. NPPES

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

MRS. NICOLE MARIE ANTENUCCI P.A. (NPI 1972739852) is an individual physician assistant in Tripler Army Medical Center, Hawaii, licensed in Florida (PA9109691) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1972739852
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICOLE MARIE ANTENUCCICredential: P.A.
Location Address1 JARRETT WHITE RD, TAMCTripler Army Medical Center, HI 96859-5001
Mailing Address3 Shircliff Way, Ste 714Jacksonville, FL 32204-4786 · (814) 590-5495
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 4, 2009
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
NPI 1972739852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9109691
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA052460 (PA)
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

Other Names 1

Former Name (1)Ms. Nicole Marie Maholtz P.a.

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

Mrs. Nicole Marie Antenucci P.a. 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 ID840458618
PECOS Enrollment IDI20170621002927
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.

Areas of Expertise CMS Part B claims 2

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.

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
17 services16 patients
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope 38570
This procedure involves using a thin, flexible tool called an endoscope to examine and remove lymph nodes in the abdominal area. The endoscope is inserted through a small incision. It allows doctors to view and biopsy, or take samples of, any suspicious tissues for further testing.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

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 Antenucci's NPI number?

The NPI number for Nicole Antenucci is 1972739852. It was assigned to this individual provider in the NPPES registry on June 4, 2009. The provider is also known as Ms. Nicole Marie Maholtz P.A..

Where is Nicole Antenucci located?

Nicole Antenucci practices at 1 Jarrett White Rd Tamc, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-7699.

What is Nicole Antenucci's specialty?

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

Is Nicole Antenucci enrolled in Medicare?

Yes. Nicole Antenucci 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 Antenucci accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Wellpoint list Nicole Antenucci 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 Antenucci affiliated with any hospitals?

According to CMS data, Nicole Antenucci is affiliated with Ascension St Vincent's Riverside.

When was this NPI record last updated?

The NPPES record for Nicole Antenucci was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.