NICOLE LESLIE JONES (AA) – Anesthesiologist Assistant, NPI 1104215862

NICOLE LESLIE JONES (AA) is a healthcare provider. based in Hollywood, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. 1803 (TX). The NPI Number for NICOLE LESLIE JONES (AA) is 1104215862

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LESLIE JONES (AA)
NPI
1104215862
Phone
(954) 966-4500
Address
3600 WASHINGTON ST
Enumeration Date
20 January 2015
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545875010
Graduation Year
2014 (12 years ago)
PAC ID
9032434121
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20160322000311
Address ID
FL333172835PL401XXAVEX400

Contacts

Secure Messaging
njones130066@MHSDIRECT.NET
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for NICOLE LESLIE JONES (AA)

  • 3600 WASHINGTON ST

    HOLLYWOOD, FL 330218216

    Phone: (954) 966-4500

    Type: Location

  • 2411 FOUNTAIN VIEW DR

    STE. 200

    HOUSTON, TX 770574817

    Phone: (713) 620-4000

    Type: Mailing

  • 7700 W SUNRISE BLVD

    PLANTATION, FL 333224113

    Phone: (720) 462-5373

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($28).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$28
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: 2016-03-22

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
I20160322000311IAnesthesiology 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.

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

Insurance plans in this area (ZIP 33021)

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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: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

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Frequently asked questions

Does NICOLE LESLIE JONES (AA) have a public NPI I can cite?
Public records show NICOLE LESLIE JONES (AA) under NPI 1104215862.
Is NICOLE LESLIE JONES (AA) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE LESLIE JONES (AA) as active.
What does the directory say NICOLE LESLIE JONES (AA) does?
Insurance directories may phrase it differently, but here NICOLE LESLIE JONES (AA) maps to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is NICOLE LESLIE JONES (AA) tied to Hollywood, Florida?
If you are local to Hollywood, Florida, NICOLE LESLIE JONES (AA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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