NICOLE AGUILAR (DO) – Internal Medicine Physician, NPI 1053060384

NICOLE AGUILAR (DO) is a healthcare provider. based in Bradenton, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OS22687 (FL). The NPI Number for NICOLE AGUILAR (DO) is 1053060384

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE AGUILAR (DO)
NPI
1053060384
Phone
(941) 792-6611
Address
2020 59TH ST W
Enumeration Date
23 March 2022
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7279547201
Graduation Year
2022 (4 years ago)
PAC ID
7214387422
Group Practice PAC ID
1658642434
Professional Enrollment ID
I20251105003845
Address ID
FL337151565ST5101XSXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for NICOLE AGUILAR (DO)

  • 2020 59TH ST W

    BRADENTON, FL 342094604

    Phone: (941) 792-6611

    Type: Location

  • 5101 BRITTANY DR S

    SAINT PETERSBURG, FL 337151565

    Phone: (727) 954-7204

    Type: Location

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: 2025-11-05

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
I20251105003845IInternal MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34209)

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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: 1658642434View full group profile
NameSpecialtyState
-FL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is NICOLE AGUILAR (DO) identified in CMS data?
CMS-hosted NPPES data lists NICOLE AGUILAR (DO) with NPI 1053060384.
Does CMS list NICOLE AGUILAR (DO) as active?
Yes — NICOLE AGUILAR (DO) is active in the NPI listing used on this page.
What healthcare role does NICOLE AGUILAR (DO) hold?
Scheduling teams often label NICOLE AGUILAR (DO) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE AGUILAR (DO)?
NICOLE AGUILAR (DO)'s geographic hint is Bradenton, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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