Nicolette Sophia Pelliccione, ARNP - Medicare Nurse Practitioner in Boynton Beach, FL

Nicolette Sophia Pelliccione, ARNP is a medicare enrolled "Nurse Practitioner" in Boynton Beach, Florida. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is 3795 W Boynton Beach Blvd Ste A, Boynton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 369-4255.

Nicolette Sophia Pelliccione is licensed to practice in Florida (license number 9203811) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689992471.

Contact Information

Nicolette Sophia Pelliccione, ARNP
3795 W Boynton Beach Blvd Ste A,
Boynton Beach, FL 33436-4502
(561) 369-4255
Not Available

Map and Direction




Provider's Profile

Full NameNicolette Sophia Pelliccione
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location3795 W Boynton Beach Blvd Ste A, Boynton Beach, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicolette Sophia Pelliccione graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1689992471
  • Provider Enumeration Date: 05/04/2010
  • Last Update Date: 01/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648450908
  • Enrollment ID: I20110203001134

Medical Identifiers

Medical identifiers for Nicolette Sophia Pelliccione such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689992471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 9203811 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Conviva Medical Center Management, Llc4284717422354

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicolette Sophia Pelliccione allows following entities to bill medicare on her behalf.
Entity NameConviva Medical Center Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649324278
PECOS PAC ID: 4284717422
Enrollment ID: O20080212000415
Entity NameUniversity Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568782464
PECOS PAC ID: 2163685991
Enrollment ID: O20120515000374
Entity NameAmicus Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033488382
PECOS PAC ID: 0941450902
Enrollment ID: O20121029000278

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolette Sophia Pelliccione is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicolette Sophia Pelliccione, ARNP
3795 W Boynton Beach Blvd Ste A,
Boynton Beach, FL 33436-4502

Ph: (561) 369-4255
Nicolette Sophia Pelliccione, ARNP
3795 W Boynton Beach Blvd Ste A,
Boynton Beach, FL 33436-4502

Ph: (561) 369-4255

Reviews and Comments


Nurse Practitioner Nurses in Boynton Beach, FL

Nancy Adrien,
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Medicare: Not Enrolled in Medicare
Practice Location: 3330 S Federal Hwy, Boynton Beach, FL 33435
Phone: 561-338-3783    
Mrs. Elizabeth A Gottlieb, ARNP
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Medicare: Medicare Enrolled
Practice Location: 2401 S Seacrest Blvd, Boynton Beach, FL 33435
Phone: 561-733-8133    Fax: 561-733-6670
Emily Katcher, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 8662 Daystar Ridge Pt, Boynton Beach, FL 33473
Phone: 561-504-9811    
Latoya Camay Howell, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426
Phone: 561-572-3227    Fax: 561-572-3228
Mrs. Susan Lynch Fischer, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1601 S Congress Ave # B, Boynton Beach, FL 33426
Phone: 561-276-8444    
Medlyne St Fort, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 4942 Purdue Dr, Boynton Beach, FL 33436
Phone: 561-261-8399    
Berthine Joseph,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2240 W Woolbright Rd, Boynton Beach, FL 33426
Phone: 561-737-6556    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.