Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801663539 Individual Practitioner Female Practitioner

Nicole Aileen Ortlieb

Physician Assistant • Fernandina Beach, FL

Professional Overview & Biography Verified Profile Summary

Nicole Ortlieb is a registered healthcare professional specializing in Physician Assistant in Fernandina Beach, FL. Practice services are available at 96112 LANCEFORD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

96112 Lanceford Ln

Fernandina Beach, FL 320346197

Telephone 3015200658

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fernandina Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Fernandina Beach, FL (10376 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 1200729

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 04, 2023

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2023

Registered at 96112 LANCEFORD LN, FERNANDINA BEACH, FL 320346197 (Tel: 3015200658)

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Updated Business Mailing Address December 04, 2023

Registered at 96112 LANCEFORD LN, FERNANDINA BEACH, FL 320346197 (Tel: 3015200658)

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Provider Name / Credentials Updated December 04, 2023

Recorded as NICOLE ORTLIEB

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2023

Physician Assistant (License #1200729 in FL)

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Initial NPI Registration & Enumeration December 04, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801663539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2023
Last Update: December 04, 2023
Sole Proprietor: Yes

Mailing Address

96112 Lanceford Ln

Fernandina Beach, FL 320346197

Phone: 3015200658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.