NICOLE E AULD (PA-C) – Physician Assistant, NPI 1174133391

NICOLE E AULD (PA-C) is a healthcare provider. based in Jacksonville beach, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 9113220 (FL). The NPI Number for NICOLE E AULD (PA-C) is 1174133391

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE E AULD (PA-C)
NPI
1174133391
Phone
(407) 754-6136
Address
1419 4TH ST N
Enumeration Date
3 August 2020
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048254747
Graduation Year
2020 (6 years ago)
PAC ID
9739505116
Group Practice PAC ID
3173584174
Professional Enrollment ID
I20200817000095
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for NICOLE E AULD (PA-C)

  • 1419 4TH ST N

    JACKSONVILLE BEACH, FL 322507318

    Phone: (407) 754-6136

    Type: Mailing

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • 4291 ROOSEVELT BLVD

    JACKSONVILLE, FL 322102061

    Phone: (904) 598-1888

    Fax: (904) 384-4928

    Type: Location

  • 2825 MULFORD AVE

    WINTER PARK, FL 327896624

    Phone: (407) 754-6136

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes646232$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes475125$0
99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes13431$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and12074$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
View full utilization report →

Insurance plans in this area (ZIP 32250)

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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: 3173584174View full group profile
NameSpecialtyState
General PracticeFL
Physician AssistantFL
-FL
-FL
General Practice, OtolaryngologyPR
-FL
General PracticeFL
Physician AssistantFL
General PracticeFL
Nurse PractitionerFL

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Frequently asked questions

What identifier follows NICOLE E AULD (PA-C) across health systems?
The NPI 1174133391 uniquely identifies NICOLE E AULD (PA-C) in U.S. healthcare data.
Is NICOLE E AULD (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE E AULD (PA-C) as active.
Which specialty label fits NICOLE E AULD (PA-C)?
NPPES ties NICOLE E AULD (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE E AULD (PA-C)?
NICOLE E AULD (PA-C) shows a connection to Jacksonville Beach, Florida in registry-derived data.
Who maintains NICOLE E AULD (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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