Nicole Roldan, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Palm City, Florida. She went to Nova Southeastern College Of Osteo Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kure Mobile Medical Llc and her current practice location is
1067 Sw Spruce St, Palm City, Florida. You can reach out to her office (for appointments etc.) via phone at
(195) 461-4424.
Nicole Roldan is licensed to practice in Florida (license number 11018604) 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 1891481586.
Physician's Profile
| Full Name | Nicole Roldan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1067 Sw Spruce St, Palm City, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Roldan attended and graduated from Nova Southeastern College Of Osteo Medicine in 2021
NPI Data:
- NPI Number: 1891481586
- Provider Enumeration Date: 04/14/2023
- Last Update Date: 04/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446699698
- Enrollment ID: I20240514004339
Medical Identifiers
Medical identifiers for Nicole Roldan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891481586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 11018604 (Florida) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 11018604 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 11018604 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 11018604 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kure Mobile Medical Llc | 1951780808 | 5 |
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. Nicole Roldan allows following entities to bill medicare on her behalf.
| Entity Name | Kure Mobile Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316680291
PECOS PAC ID: 1951780808
Enrollment ID: O20220623000328 |
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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. Nicole Roldan 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 Address | Practice Location Address |
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Nicole Roldan, APRN
1067 Sw Spruce St,
Palm City, FL 34990-2831
Ph: (195) 461-4424 | Nicole Roldan, APRN
1067 Sw Spruce St,
Palm City, FL 34990-2831
Ph: (195) 461-4424 |
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