NICOLE BAUMGARTNER-FERNANDEZ (DO) – Internal Medicine Physician, NPI 1003266396

NICOLE BAUMGARTNER-FERNANDEZ (DO) is a healthcare provider. based in Largo, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. U04866 (FL). The NPI Number for NICOLE BAUMGARTNER-FERNANDEZ (DO) is 1003266396

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE BAUMGARTNER-FERNANDEZ (DO)
NPI
1003266396
Phone
(727) 588-5704
Address
201 14TH ST SW
Enumeration Date
16 June 2016
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6103782000
Graduation Year
2016 (10 years ago)
PAC ID
4880921287
Group Practice PAC ID
3779688650
Professional Enrollment ID
I20230816003789
Address ID
PA196059453RE2500XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for NICOLE BAUMGARTNER-FERNANDEZ (DO)

  • 201, 14th Street Southwest, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 337703133

    Phone: (727) 588-5704

    Type: Mailing

  • 201 14th St SW

    Largo, FL 337703133

    Phone: (727) 588-5704

    Type: Location

  • 2500 BERNVILLE RD

    READING, PA 196059453

    Phone: (610) 378-2000

    Fax: (610) 378-2799

    Type: Location

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (610) 208-4648

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230816003789IInternal MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes220118$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15583$0
99239Hospital discharge day management, more than 30 minutes9593$0
View full utilization report →

Insurance plans in this area (ZIP 33770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779688650View full group profile
NameSpecialtyState
Physician AssistantCA
Family PracticePA
Hospitalist, Internal MedicinePA
Internal MedicineNY
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA
Hospice/Palliative Care, Family PracticePA
Anesthesiology, Pain ManagementPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Internal Medicine, Geriatric MedicinePA

Reviews

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Frequently asked questions

What NPI should I save for NICOLE BAUMGARTNER-FERNANDEZ (DO)?
Save NPI 1003266396 if you need a stable reference for NICOLE BAUMGARTNER-FERNANDEZ (DO).
Is NICOLE BAUMGARTNER-FERNANDEZ (DO) active in the national directory?
NICOLE BAUMGARTNER-FERNANDEZ (DO)'s public NPI profile is in an active state.
What does NICOLE BAUMGARTNER-FERNANDEZ (DO) treat or focus on?
Patients typically see NICOLE BAUMGARTNER-FERNANDEZ (DO) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for NICOLE BAUMGARTNER-FERNANDEZ (DO)?
We surface Largo, Florida for NICOLE BAUMGARTNER-FERNANDEZ (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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