NICOLE ROLDAN (APRN) – Adult Health Nurse Practitioner, NPI 1891481586

NICOLE ROLDAN (APRN) is a healthcare provider. based in Palm city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11018604 (FL). The NPI Number for NICOLE ROLDAN (APRN) is 1891481586

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ROLDAN (APRN)
NPI
1891481586
Phone
(195) 461-4424
Address
1067 SW SPRUCE ST
Enumeration Date
14 April 2023
Last Update Date
14 April 2023

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
5616779658
Graduation Year
2021 (5 years ago)
PAC ID
0446699698
Group Practice PAC ID
1951780808
Professional Enrollment ID
I20240514004339
Address ID
FL334779687JU157XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for NICOLE ROLDAN (APRN)

  • 1067 SW SPRUCE ST

    PALM CITY, FL 349902831

    Phone: (195) 461-4424

    Mailing address matches the actual address.

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: 2024-05-14

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
I20240514004339INurse PractitionerFLTBD

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 34990)

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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: 1951780808View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerPA

Reviews

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Frequently asked questions

What identifier follows NICOLE ROLDAN (APRN) across health systems?
The NPI 1891481586 uniquely identifies NICOLE ROLDAN (APRN) in U.S. healthcare data.
Is NICOLE ROLDAN (APRN) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE ROLDAN (APRN) as active.
What services align with NICOLE ROLDAN (APRN)'s listing?
NICOLE ROLDAN (APRN)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE ROLDAN (APRN)?
NICOLE ROLDAN (APRN) shows a connection to Palm City, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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