DR. NICOLE MARIE KRISKE (DO) – Emergency Medicine Physician, NPI 1801221619

DR. NICOLE MARIE KRISKE (DO) is a healthcare provider. based in Fort lauderdale, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS12724 (FL). The NPI Number for DR. NICOLE MARIE KRISKE (DO) is 1801221619

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE MARIE KRISKE (DO)
NPI
1801221619
Phone
(214) 277-9547
Address
2537 NASSAU LN
Enumeration Date
11 September 2013
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043340910
Graduation Year
2010 (16 years ago)
PAC ID
3577789494
Group Practice PAC ID
4789039058
Professional Enrollment ID
I20140729001438
Address ID
FL334146103WE10101BLVD400

Contacts

Secure Messaging
nmolinaro114418@MHSDIRECT.NET
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. NICOLE MARIE KRISKE (DO)

  • 2537 NASSAU LN

    FORT LAUDERDALE, FL 333124617

    Phone: (214) 277-9547

    Type: Mailing

  • 2537 NASSAU LANE

    FORT LAUDERDALE, FL 33312

    Phone: (214) 277-9547

    Type: Location

  • MEMORIAL MIRAMAR HOSPITAL

    1901 SW 172ND AVE

    MIRAMAR, FL 33029

    Phone: (954) 538-5101

    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: 2014-07-29

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
I20140729001438IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making202191$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only158150$0
99284Emergency department visit with moderate level of medical decision making8983$0
99291Critical care, first 30-74 minutes4242$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 33312)

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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: 4789039058View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Family Practice, Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineTX
Emergency MedicinePA
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineOH

Reviews

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Frequently asked questions

What is the standard ID for DR. NICOLE MARIE KRISKE (DO) in the U.S.?
In the U.S., DR. NICOLE MARIE KRISKE (DO) is identified by NPI 1801221619.
Does the public listing show DR. NICOLE MARIE KRISKE (DO) as active?
DR. NICOLE MARIE KRISKE (DO)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. NICOLE MARIE KRISKE (DO)?
NPPES ties DR. NICOLE MARIE KRISKE (DO) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. NICOLE MARIE KRISKE (DO) tied to Fort Lauderdale, Florida?
If you are local to Fort Lauderdale, Florida, DR. NICOLE MARIE KRISKE (DO) may be relevant to your search.
Who maintains DR. NICOLE MARIE KRISKE (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.