NICOLE STEGAWSKI (PA-C) – Physician Assistant, NPI 1174122139

NICOLE STEGAWSKI (PA-C) is a healthcare provider. based in Naples, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9113504 (FL). The NPI Number for NICOLE STEGAWSKI (PA-C) is 1174122139

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE STEGAWSKI (PA-C)
NPI
1174122139
Phone
(440) 539-2029
Address
1310 SWEETWATER CV UNIT 7203
Enumeration Date
21 October 2020
Last Update Date
21 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392777070
Graduation Year
2020 (6 years ago)
PAC ID
0648680496
Group Practice PAC ID
2668793332
Professional Enrollment ID
I20201105001361
Address ID
FL339169523FO3033XAVEX303

Contacts

Main Contact
https://www.gardnerorthopedics.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for NICOLE STEGAWSKI (PA-C)

  • 1310 SWEETWATER CV UNIT 7203

    NAPLES, FL 341104144

    Phone: (440) 539-2029

    Type: Mailing

  • 3033 WINKLER AVE UNIT 100

    FORT MYERS, FL 339169523

    Phone: (239) 256-1510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $640.

Total Amount is formed as General ($640) + Research ($0) + Ownership ($0) = $640.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($297).

Total Amount

$640

General + Research + Ownership

Payments

9

Total payment records

General Amount

$640

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

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: 2020-11-05

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
I20201105001361IPhysician 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
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg70026$0
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg41612$0
99213Established patient office or other outpatient visit, 20-29 minutes155137$0
99214Established patient office or other outpatient visit, 30-39 minutes10999$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10922$0
View full utilization report →

Insurance plans in this area (ZIP 34110)

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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: 2668793332View full group profile
NameSpecialtyState
-FL
Physical Medicine And RehabilitationFL
Physician AssistantFL
-FL
Physician AssistantFL
Orthopedic Surgery, Sports MedicineFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryPA
Physician AssistantFL

Reviews

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Frequently asked questions

How is NICOLE STEGAWSKI (PA-C) identified in CMS data?
CMS-hosted NPPES data lists NICOLE STEGAWSKI (PA-C) with NPI 1174122139.
Is NICOLE STEGAWSKI (PA-C) still practicing?
NICOLE STEGAWSKI (PA-C) is currently listed as active in the public NPI registry.
What is NICOLE STEGAWSKI (PA-C)'s primary classification?
Physician Assistant is the headline specialty for NICOLE STEGAWSKI (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE STEGAWSKI (PA-C)?
NICOLE STEGAWSKI (PA-C)'s geographic hint is Naples, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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