NICHOLLE C ROTHENGASS (PA-C) – Physician Assistant, NPI 1588138663
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for NICHOLLE C ROTHENGASS (PA-C)
904 WAVECREST AVE APT A4
INDIALANTIC, FL 329033251
Phone: (813) 786-2691
Type: Mailing
350, New Haven Avenue, West Melbourne, Melbourne, Brevard County, Florida, 32901, United States
W MELBOURNE, FL 32904
Phone: (321) 216-2288
Fax: (321) 216-2255
Type: Location
9149 Estate Thomas Ste 308
St Thomas, VI 008023132
Phone: (340) 774-8881
Type: Location
4000 Beeston Hill Medical Ctr Ste 8
St Croix, VI 008205254
Phone: (340) 773-8801
Type: Location
1029 PARK DR APT 27
INDIAN HARBOUR BEACH, FL 329373638
Phone: (813) 786-2691
Type: Mailing
2254 HIGHWAY A1A
INDIAN HARBOUR BEACH, FL 329374922
Phone: (813) 786-2691
Fax: (321) 779-7425
Type: Location
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: 2023-07-13
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 |
|---|---|---|---|---|
| I20190212000626 | I | Physician Assistant | FL | TBD |
| I20230713004224 | I | Physician Assistant | VI | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 167 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 69 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 63 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 52 | 26 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 39 | 31 | $0 |
Insurance plans in this area (ZIP 32903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| O T O L A R Y N G O L O G Y | VI | |
| - | VI |
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