NICOLE DUMAS VANDERLAAN (PA-C) – Physician Assistant, NPI 1255305934

NICOLE DUMAS VANDERLAAN (PA-C) is a healthcare provider. based in Cape coral, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601002686 (MI). The NPI Number for NICOLE DUMAS VANDERLAAN (PA-C) is 1255305934

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE DUMAS VANDERLAAN (PA-C)
NPI
1255305934
Phone
(239) 938-2000
Address
1002 Country Club Blvd
Enumeration Date
17 February 2006
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2399382000
Graduation Year
1999 (27 years ago)
PAC ID
7012829203
Group Practice PAC ID
2769460211
Professional Enrollment ID
I20101216000248
Address ID
FL339074539FO1550XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for NICOLE DUMAS VANDERLAAN (PA-C)

  • 1002 Country Club Blvd

    Cape Coral, FL 339903025

    Phone: (239) 938-2000

    Fax: (239) 278-0404

    Type: Location

  • Barkley Circle, Fort Myers, Lee County, Florida, 33907, United States

    FORT MYERS, FL 339074539

    Phone: (239) 938-2000

    Fax: (239) 278-0404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $2,464.

Total Amount is formed as General ($2,464) + Research ($0) + Ownership ($0) = $2,464.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($731).

Total Amount

$2,464

General + Research + Ownership

Payments

71

Total payment records

General Amount

$2,464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2010-12-16

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
I20101216000248IPhysician 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5748$0
View full utilization report →

Insurance plans in this area (ZIP 33990)

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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: 2769460211View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)FL
Physician AssistantFL
Physician AssistantFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology), Nuclear MedicineFL
Cardiovascular Disease (Cardiology), Interventional CardiologyFL
Physician AssistantFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

What identifier follows NICOLE DUMAS VANDERLAAN (PA-C) across health systems?
The NPI 1255305934 uniquely identifies NICOLE DUMAS VANDERLAAN (PA-C) in U.S. healthcare data.
Is NICOLE DUMAS VANDERLAAN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE DUMAS VANDERLAAN (PA-C) as active.
What services align with NICOLE DUMAS VANDERLAAN (PA-C)'s listing?
NICOLE DUMAS VANDERLAAN (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is NICOLE DUMAS VANDERLAAN (PA-C) tied to Cape Coral, Florida?
If you are local to Cape Coral, Florida, NICOLE DUMAS VANDERLAAN (PA-C) 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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