Nicole Renee Ennis, PMHNP-BC - Medicare Nurse Practitioner in Pinehurst, NC

Nicole Renee Ennis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pinehurst, North Carolina. Her current practice location is 300 Kelly Rd, Pinehurst, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 420-0226.

Nicole Renee Ennis is licensed to practice in North Carolina (license number 5017739) 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 1659925717.

Contact Information

Nicole Renee Ennis, PMHNP-BC
300 Kelly Rd,
Pinehurst, NC 28374-8099
(910) 420-0226
Not Available

Map and Direction




Provider's Profile

Full NameNicole Renee Ennis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location300 Kelly Rd, Pinehurst, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659925717
  • Provider Enumeration Date: 07/27/2019
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668800830
  • Enrollment ID: I20200323000070

Medical Identifiers

Medical identifiers for Nicole Renee Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659925717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024179001 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5017739 (North Carolina)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 Renee Ennis allows following entities to bill medicare on her behalf.
Entity NameBrook Lane Behavioral Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538647748
PECOS PAC ID: 5991055022
Enrollment ID: O20180911000549

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 Renee Ennis 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 AddressPractice Location Address
Nicole Renee Ennis, PMHNP-BC
100 Flyfoot Dr,
Stephenson, VA 22656-1955

Ph: (304) 670-6877
Nicole Renee Ennis, PMHNP-BC
300 Kelly Rd,
Pinehurst, NC 28374-8099

Ph: (910) 420-0226

Reviews and Comments


Nurse Practitioner Nurses in Pinehurst, NC

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Phone: 910-295-3200    Fax: 910-295-3222
Casey Burnette, AGPCNP-C
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Medicare: Accepting Medicare Assignments
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Phone: 910-295-5511    Fax: 910-235-3432
Lillian Grace Schnitzer, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 5 Firstvillage Drive, Pinehurst, NC 28374
Phone: 910-295-6831    Fax: 910-295-0244

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.