Active NPIIndividual provider

Nicholle C Rothengass, PA-C

Physician Assistant in Indian Harbour Beach, Florida

NPI Number1588138663
Practice location
2254 Highway A1a, Indian Harbour Beach, FL 32937-4922
Fax
321-779-7425
Last updated
December 18, 2025

Nicholle C Rothengass is a Physician Assistant based in Indian Harbour Beach, FL. Nicholle C Rothengass practices in Indian Harbour Beach, FL and has the professional credentials of PA-C. The NPI Number for Nicholle C Rothengass is 1588138663 and holds a License No. PA9111908 (FL). The current practice location address for Nicholle C Rothengass is 2254 Highway A1a, Indian Harbour Beach, FL 32937-4922 and can be reached out via phone at 813-786-2691 and via fax at 321-779-7425.

Provider Profile Details

NPI Number
1588138663
Provider Name
Nicholle C Rothengass
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2254 Highway A1a, Indian Harbour Beach, FL 32937-4922
Phone Number
813-786-2691
Fax Number
321-779-7425
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 11, 2019
Last Update Date
December 18, 2025
Certification Date
December 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2254 Highway A1a
Indian Harbour Beach, FL 32937-4922
State
Florida
Zip
32937-4922
Phone Number
813-786-2691
Fax Number
321-779-7425
Indian Harbour Beach, FL 32937Get directions →

Provider Business Mailing Address Details

Address
1029 Park Dr Apt 27
Indian Harbour Beach, FL 32937-3638
City
Indian Harbour Beach
State
FL
Zip
32937-3638
Phone Number
813-786-2691

License Information

License Number
PA9111908
License State
FL
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicholle C Rothengass, PA-C?

The NPI number of Nicholle C Rothengass, PA-C is 1588138663. It was assigned on January 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Nicholle C Rothengass, PA-C?

Nicholle C Rothengass, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9111908.

Where does Nicholle C Rothengass, PA-C practice?

The practice location is 2254 Highway A1a, Indian Harbour Beach, FL 32937-4922. The office can be reached at 813-786-2691 (phone) or 321-779-7425 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588138663 directly on the NPPES registry website.

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