Nicole R Provins, APRN in Highlands Ranch, CO

Nicole R Provins, APRN is a medicare enrolled "Nurse Practitioner - Family" in Highlands Ranch, Colorado. Her current practice location is 9285 Hepburn St, Highlands Ranch, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 338-4545.

Nicole R Provins is licensed to practice in Colorado (license number APN.0995837-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730337825.

Contact Information

	Nicole R Provins, APRN
	9285 Hepburn St, Highlands Ranch, CO 80129-2262
	(303) 338-4545
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole R Provins
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9285 Hepburn St, Highlands Ranch, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730337825
Provider Enumeration Date: 09/03/2008
Last Update Date: 06/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8123430105
Enrollment ID: I20201216000569

Medical Identifiers

Medical identifiers for Nicole R Provins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730337825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	123343 (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	APN.0995837-NP (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole R Provins allows following entities to bill medicare on her behalf.

Entity Name	Colorado Permanente Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole R Provins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole R Provins, APRN 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () -	Nicole R Provins, APRN 9285 Hepburn St, Highlands Ranch, CO 80129-2262 Ph: (303) 338-4545

Reviews and Comments

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Nicole R Provins, APRN - Medicare Nurse Practitioner in Highlands Ranch, CO