DR. NICHOLE DIDLEY (DPM) – Podiatrist, NPI 1679998835
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
Provider Addresses for DR. NICHOLE DIDLEY (DPM)
13600 Icot Blvd
Building A
Clearwater, FL 33760
Phone: (727) 498-3942
Fax: (866) 936-4753
Type: Location
1395 NW 167TH ST
MIAMI, FL 331695710
Phone: (305) 628-6117
Fax: (305) 628-6127
Type: Mailing
206 N FLORIDA AVE
LAKELAND, FL 338014902
Phone: (863) 209-7003
Fax: (863) 274-3520
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: 2025-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20171201000575 | I | Podiatry | FL | TBD |
| I20251010003778 | I | Podiatry | AL | TBD |
| I20251201000147 | I | Podiatry | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33760)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | TN | |
| P O D I A T R Y | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | WI | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | NC | |
| Nurse Practitioner | LA | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | HI |
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