DR. NICOLE CONRAD (MD) – Dermatology Physician, NPI 1679565881

DR. NICOLE CONRAD (MD) is a healthcare provider. based in Coral springs, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036-110873 (IL). The NPI Number for DR. NICOLE CONRAD (MD) is 1679565881

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE CONRAD (MD)
NPI
1679565881
Phone
(954) 752-2630
Address
3000 N UNIVERSITY DR
Enumeration Date
16 August 2005
Last Update Date
29 November 2011

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
5613533376
Graduation Year
1999 (27 years ago)
PAC ID
7012998651
Group Practice PAC ID
9234239757
Professional Enrollment ID
I20110825000528
Address ID
FL334335019BO22191RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. NICOLE CONRAD (MD)

  • 3000, North University Drive, Coral Springs, Broward County, Florida, 33065, United States

    SUITE K

    CORAL SPRINGS, FL 330655055

    Phone: (954) 752-2630

    Fax: (954) 752-0183

    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 103 Open Payments records for all available years, with a total value of $2,087.

Total Amount is formed as General ($2,087) + Research ($0) + Ownership ($0) = $2,087.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($424).

Total Amount

$2,087

General + Research + Ownership

Payments

103

Total payment records

General Amount

$2,087

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2011-08-25

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
I20110825000528IDermatologyFLTBD

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 growths650114$0
99213Established patient office or other outpatient visit, 20-29 minutes344224$0
17000Destruction of precancer skin growth, 1 growth247172$0
11102Biopsy of related skin growth, first growth161142$0
99214Established patient office or other outpatient visit, 30-39 minutes153103$0
View full utilization report →

Insurance plans in this area (ZIP 33065)

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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: 9234239757View full group profile
NameSpecialtyState
Physician AssistantNY
D E R M A T O L O G YFL
Physician AssistantFL
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the standard ID for DR. NICOLE CONRAD (MD) in the U.S.?
In the U.S., DR. NICOLE CONRAD (MD) is identified by NPI 1679565881.
Is DR. NICOLE CONRAD (MD)'s NPI status active today?
Active status means DR. NICOLE CONRAD (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. NICOLE CONRAD (MD) does?
Insurance directories may phrase it differently, but here DR. NICOLE CONRAD (MD) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NICOLE CONRAD (MD)?
DR. NICOLE CONRAD (MD) shows a connection to Coral Springs, Florida in registry-derived data.
Why is information missing for DR. NICOLE CONRAD (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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