Individual provider Active NPI

Nicole S Dalsania, PA-C

  • Medical Physician Assistant
  • Lakewood Ranch, FL
National Provider Identifier
1083354575
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9115667 Issued in FL
Practice address
6600 University Pkwy Ste 301
Lakewood Ranch, FL 34240-9048
Phone
(941) 361-1100
Fax
(941) 361-1103
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9115667 FL Primary

Addresses

Primary practice location

6600 University Pkwy Ste 301
Lakewood Ranch, FL 34240-9048

Mailing address

6600 University Pkwy Ste 301
Lakewood Ranch, FL 34240-9048
Phone (941) 361-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411001389 FL Practitioner - Physician Assistant 6204222722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

1886 59TH St W
Bradenton, FL 34209-4630
Phone (941) 794-1980

6600 University Pkwy
Suite 301
Lakewood Ranch, FL 34240-9048
Phone (941) 361-1100

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1083354575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 301",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409048",
            "telephone_number": "941-361-1100",
            "fax_number": "941-361-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 301",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409048",
            "telephone_number": "941-361-1100",
            "fax_number": "941-361-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALSANIA",
        "first_name": "NICOLE",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.