NICOLE PIETRAS (D.O.) – Pediatrics Physician, NPI 1710348768
Pediatrics Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,309 PEDIATRIC MEDICINE in FL
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Provider Addresses for NICOLE PIETRAS (D.O.)
580 CHRISTINA DR APT 305
WELLINGTON, FL 334142187
Phone: (609) 577-4554
Type: Mailing
Palms West Hospital, 13001, Southern Boulevard, Palm Beach County, Florida, 33470, United States
LOXAHATCHEE, FL 334709203
Phone: (561) 345-7196
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-5333
Fax: (239) 343-5321
Type: Mailing
9981 S HEALTHPARK DR
FORT MYERS, FL 339083618
Phone: (239) 343-5052
Type: Location
8349 SERRANO CIR
MELBOURNE, FL 329408090
Phone: (609) 577-4554
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: 2025-08-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250828005229 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33414)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), Pediatric Medicine | FL | |
| General Surgery | MI | |
| N E U R O L O G Y | MO | |
| Medical Genetics And Genomics | MI | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| General Surgery | FL | |
| Family Practice | FL |
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