NICHOLAS WOLHAUPTER – Dermatology Physician, NPI 1508301011

NICHOLAS WOLHAUPTER is a healthcare provider. based in Lakeland, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9110064 (FL). The NPI Number for NICHOLAS WOLHAUPTER is 1508301011

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS WOLHAUPTER
NPI
1508301011
Phone
(863) 853-3331
Address
6500 N SOCRUM LOOP RD
Enumeration Date
20 December 2016
Last Update Date
20 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419070222
Graduation Year
2016 (10 years ago)
PAC ID
1557644119
Group Practice PAC ID
9739106584
Professional Enrollment ID
I20170207000453
Address ID
FL342081932BR230XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for NICHOLAS WOLHAUPTER

  • 6500, North Socrum Loop Road, Lakeland, Polk County, Florida, 33809, United States

    SUITE 100

    LAKELAND, FL 338094179

    Phone: (863) 853-3331

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 168 Open Payments records for all available years, with a total value of $49,422.

Total Amount is formed as General ($49,422) + Research ($0) + Ownership ($0) = $49,422.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($44,280).

Total Amount

$49,422

General + Research + Ownership

Payments

168

Total payment records

General Amount

$49,422

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2017-02-07

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
I20170207000453IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths1,341210$0
99213Established patient office or other outpatient visit, 20-29 minutes569456$0
17000Destruction of precancer skin growth, 1 growth302262$0
17110Destruction of skin growth, 1-14 growths222192$0
11102Biopsy of related skin growth, first growth204185$0
View full utilization report →

Insurance plans in this area (ZIP 33809)

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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: 9739106584View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantNY
Physician AssistantFL
Physician AssistantKS
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantPA

Reviews

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Frequently asked questions

How do payers reference NICHOLAS WOLHAUPTER?
For NICHOLAS WOLHAUPTER, use NPI 1508301011 as the unique 10-digit identifier.
Active or inactive — what applies to NICHOLAS WOLHAUPTER?
You should see NICHOLAS WOLHAUPTER as active in CMS-hosted NPPES data.
What kind of doctor is NICHOLAS WOLHAUPTER?
NICHOLAS WOLHAUPTER is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with NICHOLAS WOLHAUPTER?
Directory geography for NICHOLAS WOLHAUPTER centers on Lakeland, Florida.
When was this NPI issued?
Enumeration for NICHOLAS WOLHAUPTER is noted as December 20, 2016 where the registry provides it.

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