DR. JILL CORINE NICOLINO (PSY.D) – Psychologist, NPI 1528212669
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for DR. JILL CORINE NICOLINO (PSY.D)
4475 US 1 S
STE. 609
SAINT AUGUSTINE, FL 320867284
Phone: (828) 242-9553
Fax: (904) 342-5467
Type: Location
74, Coquina Avenue, Anastasia, St. Augustine, St. Johns County, Florida, 32080, United States
SAINT AUGUSTINE, FL 320804529
Phone: (828) 242-9553
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110518000706 | I | Clinical Psychologist | NC | TBD |
| I20230106000951 | I | Clinical Psychologist | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96133 | Evaluation of neuropsychological test, each additional hour | 131 | 15 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 15 | 15 | $0 |
Insurance plans in this area (ZIP 32086)
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