MRS. NICHOLE JOHNSON PRESTWOOD (CRNP) – Family Nurse Practitioner, NPI 1225522709
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. NICHOLE JOHNSON PRESTWOOD (CRNP)
102 Jackson St Ste A&b
Enterprise, AL 363303175
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Location
989 Elba Hwy
Troy, AL 360796050
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Location
County Road 106, Ozark County, Missouri, United States
OZARK, AL 363608630
Phone: (334) 657-3674
Type: Mailing
501, West Main Street, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 36301
Phone: (334) 793-9222
Fax: (334) 671-0322
Type: Location
2505 HARRISON AVE
PANAMA CITY, FL 324054464
Phone: (850) 233-3376
Fax: (850) 522-8354
Type: Mailing
106 WESTSIDE DR
DOTHAN, AL 363031908
Phone: (877) 231-3376
Fax: (850) 522-8354
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 214 Open Payments records for all available years, with a total value of $4,218.
Total Amount is formed as General ($4,218) + Research ($0) + Ownership ($0) = $4,218.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($643).
Total Amount
$4,218
General + Research + Ownership
Payments
214
Total payment records
General Amount
$4,218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $643 |
| Novartis Pharmaceuticals Corporation | $560 |
| Janssen Biotech, Inc. | $496 |
| Regeneron Healthcare Solutions, Inc. | $465 |
| Organogenesis Inc. | $210 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180913001021 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,000 | 201 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 414 | 327 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 316 | 262 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 181 | 147 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 180 | 164 | $0 |
Insurance plans in this area (ZIP 36330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Dermatology, Pathology | FL | |
| Nurse Practitioner | AL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | AL | |
| - | GA |
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