Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lillian Nicholson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1861184533

Lillian Nicholson, PHYSICIANASSISTANT is a Physician Assistant in Rockledge, Florida. Qualified in 2023, 3 years ago. Practices with Drs Roberts and Bryan PA, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400
Phone: (321) 636-7780
Fax: (321) 636-1152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2205 North Blvd W, Davenport, FL 33837-8933 — (800) 827-7546

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9117659 (FL)

Record details

NPI number1861184533
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address1286 Florida Ave S Ste 1, Rockledge, FL 32955-2400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Drs Roberts And Bryan Pa — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rockledge