NICOLE ARRIETA (PA-C) – Physician Assistant, NPI 1821717893

NICOLE ARRIETA (PA-C) is a healthcare provider. based in Longwood, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9116405 (FL). The NPI Number for NICOLE ARRIETA (PA-C) is 1821717893

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ARRIETA (PA-C)
NPI
1821717893
Phone
Not provided
Address
1200 W SR 434 STE 112
Enumeration Date
24 August 2022
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
5799154084
Group Practice PAC ID
6103929112
Professional Enrollment ID
I20221208000887
Address ID
FL327504957LO1200XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for NICOLE ARRIETA (PA-C)

  • 1200 W SR 434 STE 112

    LONGWOOD, FL 327504957

    Phone:

    Type: Mailing

  • 109 STATE ST.

    5TH FL

    BOSTON, MA 021092906

    Phone: (617) 505-1520

    Fax: (617) 928-8401

    Type: Mailing

  • 1688 MERIDIAN AVE STE 700

    MIAMI BEACH, FL 331392713

    Phone: (617) 505-1520

    Fax: (617) 928-8401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 123 Open Payments records for all available years, with a total value of $2,800.

Total Amount is formed as General ($2,800) + Research ($0) + Ownership ($0) = $2,800.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: ABBVIE INC. ($392).

Total Amount

$2,800

General + Research + Ownership

Payments

123

Total payment records

General Amount

$2,800

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2022-12-08

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
I20221208000887IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32750)

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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: 6103929112View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

How is NICOLE ARRIETA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists NICOLE ARRIETA (PA-C) with NPI 1821717893.
Does CMS list NICOLE ARRIETA (PA-C) as active?
Yes — NICOLE ARRIETA (PA-C) is active in the NPI listing used on this page.
What is NICOLE ARRIETA (PA-C)'s primary classification?
Physician Assistant is the headline specialty for NICOLE ARRIETA (PA-C) here. Clinical services aligned with this taxonomy classification.
Does NICOLE ARRIETA (PA-C) list a practice location?
Patients near Longwood, Florida may find NICOLE ARRIETA (PA-C) in results; validate coverage separately.
Why does NICOLE ARRIETA (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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