Nicole Marie Neidhart, ARNP, CNM - Medicare Nurse Practitioner in Callahan, FL

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Nicole Marie Neidhart, ARNP, CNM is a medicare enrolled "Nurse Practitioner - Women's Health" in Callahan, Florida. Her current practice location is 45088 Tackel Ln, Callahan, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 371-6724.

Nicole Marie Neidhart is licensed to practice in Florida (license number 3317462) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750490819.

Contact Information

Nicole Marie Neidhart, ARNP, CNM
45088 Tackel Ln,
Callahan, FL 32011-6692
(904) 371-6724
(904) 371-6724

Map and Direction




Provider's Profile

Full NameNicole Marie Neidhart
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location45088 Tackel Ln, Callahan, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750490819
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 11/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860593555
  • Enrollment ID: I20070725000304

Medical Identifiers

Medical identifiers for Nicole Marie Neidhart such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750490819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 3317462 (Florida)Secondary
363LW0102XNurse Practitioner - Women's Health 3317462 (Florida)Primary

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 Marie Neidhart allows following entities to bill medicare on her behalf.
Entity NameDuval Vascular Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375195
PECOS PAC ID: 6305131251
Enrollment ID: O20160817001207

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 Marie Neidhart 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 Marie Neidhart, ARNP, CNM
Po Box 1506,
Callahan, FL 32011-1506

Ph: (904) 371-6724		Nicole Marie Neidhart, ARNP, CNM
45088 Tackel Ln,
Callahan, FL 32011-6692

Ph: (904) 371-6724

Reviews and Comments


Nurse Practitioner Nurses in Callahan, FL

Faith Ann Adams, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 866-389-2727    
Mrs. Cassandra Hargis, APRN, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 450671 Sr 200, Callahan, FL 32011
Phone: 904-631-7396    
Ms. Donna Lee Irwin, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 45377 Mickler St, Callahan, FL 32011
Phone: 904-879-2306    Fax: 904-879-6377
Shonda Souther, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 542435 Us Highway 1, Callahan, FL 32011
Phone: 904-507-4623    
Melissa Thick Cannon, APRN FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 904-879-4233    
Margo Walton,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 866-389-2727    
Nikata Arvind Patel, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 542325 Us Highway 1, Callahan, FL 32011
Phone: 904-200-1996    

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.