NICOLETTE CROSBY – Physician Assistant, NPI 1043839442

NICOLETTE CROSBY is a healthcare provider. based in Palm beach gardens, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9113392 (FL). The NPI Number for NICOLETTE CROSBY is 1043839442

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLETTE CROSBY
NPI
1043839442
Phone
(561) 253-3980
Address
11621 Kew Gardens Ave Ste 101A
Enumeration Date
15 April 2020
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612533980
Graduation Year
2020 (6 years ago)
PAC ID
0143633354
Group Practice PAC ID
8426120239
Professional Enrollment ID
I20210107002209
Address ID
FL334104323PA3360XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for NICOLETTE CROSBY

  • 11621 Kew Gardens Ave Ste 101A

    Palm Beach Gardens, FL 334102853

    Phone: (561) 253-3980

    Fax: (561) 253-3985

    Type: Location

  • 303 S BUNGALOW PARK AVE UNIT B

    TAMPA, FL 336093157

    Phone:

    Type: Mailing

  • PO BOX 160748

    ALTAMONTE SPRINGS, FL 327160748

    Phone: (561) 253-3980

    Type: Mailing

  • 1630 S CONGRESS AVE STE 200

    PALM SPRINGS, FL 334612171

    Phone: (561) 253-3980

    Fax: (561) 253-3985

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,619.

Total Amount is formed as General ($1,619) + Research ($0) + Ownership ($0) = $1,619.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Medtronic, Inc. ($301).

Total Amount

$1,619

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,619

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-07

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
I20210107002209IPhysician AssistantFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 33410)

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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: 8426120239View full group profile
NameSpecialtyState
Nurse PractitionerFL
Medical OncologyFL
H E M A T O L O G Y/ O N C O L O G YFL
Medical OncologyFL
H E M A T O L O G Y/ O N C O L O G YFL
Nurse PractitionerFL
Medical Oncology, Internal MedicineFL
Medical OncologyFL
Hematology/Oncology, Internal MedicineFL
H E M A T O L O G Y/ O N C O L O G YFL

Reviews

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Frequently asked questions

What is NICOLETTE CROSBY's NPI number?
NICOLETTE CROSBY's NPI is 1043839442 — the number used across U.S. healthcare to identify this provider.
Is NICOLETTE CROSBY shown as active in public data?
Registry records indicate NICOLETTE CROSBY maintains an active NPI.
What expertise is attributed to NICOLETTE CROSBY?
NICOLETTE CROSBY's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLETTE CROSBY?
Directory geography for NICOLETTE CROSBY centers on Palm Beach Gardens, Florida.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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