Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Faldmo, PA-C

Individual provider Physician Assistant · NPI 1679809008

Mrs. Nicole Faldmo, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2009, 17 years ago. Practices with Desert Sky Dermatology PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
17
Licensed in
AZ, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1688 E Boston St Ste 101
Gilbert, AZ 85295-6222
Phone: (480) 855-0085
Fax: (480) 855-0086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6548 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 013656 (NY)

Record details

NPI number1679809008
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2009
Last updated in NPPESFebruary 25, 2022
Certification dateJanuary 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Desert Sky Dermatology Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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