NICOLE D ELLER (DO) – Internal Medicine Physician, NPI 1679912562

NICOLE D ELLER (DO) is a healthcare provider. based in Pensacola, Florida. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials DO. They hold a License No. OS12944 (FL). The NPI Number for NICOLE D ELLER (DO) is 1679912562

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE D ELLER (DO)
NPI
1679912562
Phone
(850) 416-6108
Address
PO BOX 2699
Enumeration Date
24 June 2013
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9124664079
Graduation Year
2013 (13 years ago)
PAC ID
3072808666
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20220620000781
Address ID
GA315204722BR2415XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for NICOLE D ELLER (DO)

  • PO BOX 2699

    PENSACOLA, FL 325132699

    Phone: (850) 416-6108

    Type: Mailing

  • 4451 BAYOU BLVD

    PENSACOLA, FL 325032601

    Phone: (850) 416-7619

    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: 2022-06-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160822001191IHospitalistFLTBD
I20220620000781IInternal MedicineGATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes697305$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes443223$0
99239Hospital discharge day management, more than 30 minutes320313$0
99291Critical care, first 30-74 minutes223125$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes202195$0
View full utilization report →

Insurance plans in this area (ZIP 32513)

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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: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

Where can patients find NICOLE D ELLER (DO)'s NPI?
You can confirm NICOLE D ELLER (DO) with NPI 1679912562; it appears in the national provider directory.
Is NICOLE D ELLER (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does NICOLE D ELLER (DO) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for NICOLE D ELLER (DO). Clinical services aligned with this taxonomy classification.
Where does public data place NICOLE D ELLER (DO)?
The snapshot lists Pensacola, Florida for NICOLE D ELLER (DO); download NPPES for the complete set.
How can I contact NICOLE D ELLER (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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