Nicole Outten, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Fort Myers, Florida. Her current practice location is
2776 Cleveland Ave, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 343-2606.
Nicole Outten is licensed to practice in Florida (license number 43349) 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 1568619476.
Provider's Profile
Full Name | Nicole Outten |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2776 Cleveland Ave, Fort Myers, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568619476
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456487883
- Enrollment ID: I20100324001167
Medical Identifiers
Medical identifiers for Nicole Outten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568619476 | NPI | - | NPPES |
001888400 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA9104426 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 43349 (Florida) | Primary |
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 Outten 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 |
Nicole Outten, MD 2776 Cleveland Ave, Fort Myers, FL 33901-5864 Ph: (239) 343-2606 | Nicole Outten, MD 2776 Cleveland Ave, Fort Myers, FL 33901 Ph: (239) 343-2606 |
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