Look up the most recent NPI and PECOS records

Nicole Ortiz

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

215 Brightwater Dr, Lillington, NC 27546-5156

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Ortiz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528685823
Provider Type
Individual
Full Name
Ortiz, Nicole
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/2/2020
Last Updated
7/2/2020

Contact Information

Practice Location

215 Brightwater Dr, Lillington, NC 27546-5156

(910) 892-1000

Unlisted Fax

Mailing Location

67 Hybrid Ln, Linden, NC 28356-9473

(347) 785-6534

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Nicole Ortiz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mountcastle, Brandy Norris

Christmann-Fishman, Taylor Nicole

Dave, Meena Patel

Lawson, Ashley Darroch

Kivuti, Valerie Wawira

Bryan, Brianna Nicole

Mahood, Larry Blaine

Torres, Monique

Burkart, Jacob David

Glass, Grace