Nicole Leigh Ann Hallberg, PA-C - Medicare Physician Assistant in Daytona Beach, FL

  1. Home
  2. Physician Assistant
  3. FL
  4. Daytona Beach
Nicole Leigh Ann Hallberg, PA-C is a medicare enrolled "Physician Assistant" in Daytona Beach, Florida. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Florida Hospital Healthcare Partners, Inc and her current practice location is 305 Memorial Medical Pkwy Ste 505, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 231-3540.

Nicole Leigh Ann Hallberg is licensed to practice in Florida (license number PA9110047) 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 1366814626.

Contact Information

Nicole Leigh Ann Hallberg, PA-C
305 Memorial Medical Pkwy Ste 505,
Daytona Beach, FL 32117-5170
(386) 231-3540
(386) 231-3544

Map and Direction




Provider's Profile

Full NameNicole Leigh Ann Hallberg
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location305 Memorial Medical Pkwy Ste 505, Daytona 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:
  • Nicole Leigh Ann Hallberg graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1366814626
  • Provider Enumeration Date: 10/27/2015
  • Last Update Date: 04/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4486951415
  • Enrollment ID: I20161221001653

Medical Identifiers

Medical identifiers for Nicole Leigh Ann Hallberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366814626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9110047 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bravery Home HealthcareSt augustine, FLHome health agency
Adventhealth Palm CoastPalm coast, FLHospital
Adventhealth Daytona BeachDaytona beach, FLHospital
Adventhealth Palm Coast ParkwayPalm coast, FLHospital
Adventhealth DelandDeland, FLHospital
Adventhealth New Smyrna BeachNew smyrna beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Hospital Healthcare Partners, Inc7012266836621

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 Leigh Ann Hallberg allows following entities to bill medicare on her behalf.
Entity NameRiverside Spine & Pain Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639208648
PECOS PAC ID: 9931092814
Enrollment ID: O20040204000868
Entity NameFlorida Hospital Healthcare Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780100529
PECOS PAC ID: 7012266836
Enrollment ID: O20180831000335

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 Leigh Ann Hallberg 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
Nicole Leigh Ann Hallberg, PA-C
Po Box 935921,
Atlanta, GA 31193-5921

Ph: Not Available		Nicole Leigh Ann Hallberg, PA-C
305 Memorial Medical Pkwy Ste 505,
Daytona Beach, FL 32117-5170

Ph: (386) 231-3540

Reviews and Comments


Physician Assistant Nurses in Daytona Beach, FL

Rhonda Lee Gleason, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 305 Memorial Medical Pkwy Ste 308, Daytona Beach, FL 32117
Phone: 386-231-3600    Fax: 386-231-3602
Brent Wilkins, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1865 Lpga Blvd, Daytona Beach, FL 32117
Phone: 386-255-4596    Fax: 386-258-3561
Angelica Diez,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-4000    
Savanna Hanh Duong, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 877-842-5432    
Celeste Nadine Welch, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117
Phone: 386-231-3513    Fax: 386-231-3612
Armando Fernandez, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-254-4000    
Marissa Stewart, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117
Phone: 386-231-3540    

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.