NICOLE ALLEY HASTABA (PA-C) – Physician Assistant, NPI 1043550775
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for NICOLE ALLEY HASTABA (PA-C)
5380 N OCEAN DR
EASTPOINTE 1- 11G
RIVIERA BEACH, FL 334042515
Phone: (812) 202-0124
Type: Mailing
11030 RCA CENTER DR
SUITE 3015
PALM BEACH GARDENS, FL 334104276
Phone: (561) 776-7041
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $2,258.
Total Amount is formed as General ($2,258) + Research ($0) + Ownership ($0) = $2,258.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($848).
Total Amount
$2,258
General + Research + Ownership
Payments
115
Total payment records
General Amount
$2,258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $848 |
| Arcutis Biotherapeutics, Inc. | $226 |
| REVANCE THERAPEUTICS, INC. | $214 |
| Dermavant Sciences, Inc. | $211 |
| Incyte Corporation | $130 |
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: 2013-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131028001013 | I | Physician Assistant | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33404)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.