CINDY K NICKELS (FNP) – Family Nurse Practitioner, NPI 1457585390
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CINDY K NICKELS (FNP)
3380, C Street, Campbell, Anchorage, Alaska, 99503, United States
SUITE 100
ANCHORAGE, AK 995033949
Phone: (907) 277-1440
Fax: (907) 277-1436
Type: Mailing
247 N FIREWEED ST STE A
SOLDOTNA, AK 996697593
Phone: (907) 262-8597
Fax: (907) 262-6516
Type: Location
100 Slocum Dr.
King Cove, AK 99612
Phone: (907) 497-2311
Fax: (907) 497-2310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-12-14
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 |
|---|---|---|---|---|
| I20101214000599 | I | Nurse Practitioner | AK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CO | |
| Nurse Practitioner | AK | |
| N E U R O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| Emergency Medicine | AK | |
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| P A T H O L O G Y | AR | |
| - | UT | |
| Nurse Practitioner | OH | |
| - | CT |
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