Nicholas T Woltjen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9110372 Issued in FL

Practice address

5070 A1A Ste a
Vero Beach, FL 32963-1229

Phone

(772) 234-3700

Fax

(772) 234-3770

NPI assigned

Sep 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Facial Cosmetic and Laser Surgery Center, LLCGroup PAC ID 0244414720, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: nwoltjen@directaddress.net

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.

• Advanced Facial Cosmetic & Laser Surgery Center, LLC

  dba Ocean Drive Plastic Surgery

  • Plastic Surgery Physician
  • Vero Beach, FL
  • NPI 1003111923
  Medicare reassignment Care Compare group
• Advanced Facial Cosmetic & Laser Surgery Center Inc

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Vero Beach, FL
  • NPI 1083645717
  NPD (past)
• Integrated Medical Services Cov LLC

  • General Practice Physician
  • Covington, LA
  • NPI 1568743375
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1861827966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 A1A STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631229",
            "telephone_number": "772-234-3700",
            "fax_number": "772-234-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 A1A STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631229",
            "telephone_number": "772-234-3700",
            "fax_number": "772-234-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTJEN",
        "first_name": "NICHOLAS",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-08",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056346",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Witherdraw
• Sarah J Wittenrich, M.D.
• Sarah J Wohlman, CNM
• Geoffrey Wolf, MD
• Laura H Wolf, MD
• Samantha Wombough
• Toleitha Woodard
• Merilee Woodman, RNFA
• Rebecca R Woody
• World of Vision

• Medical Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.