NICOLE MARIE NILSON (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1750502043
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
20 PATHOLOGY in AK
Provider Addresses for NICOLE MARIE NILSON (M.D.)
250 HOSPITAL PL
SOLDOTNA, AK 996697559
Phone: (907) 714-4502
Fax: (907) 714-4696
Type: Mailing
Bristol Highway, Blountville, Sullivan County, East Tennessee, Tennessee, 37617, United States
SUITE 4
BLOUNTVILLE, TN 37617
Phone: (423) 323-5290
Fax: (423) 323-5653
Type: Mailing
Bristol Regional Medical Center, 1, Medical Park Boulevard, Bristol, Sullivan County, Tennessee, 37620, United States of America
BRISTOL, TN 376207430
Phone: (423) 844-3220
Fax: (423) 844-3114
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: 2021-01-19
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 |
|---|---|---|---|---|
| I20210119002173 | I | Pathology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,511 | 686 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 308 | 93 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 246 | 181 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 182 | 144 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 149 | 92 | $0 |
Insurance plans in this area (ZIP 99669)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| P A T H O L O G Y | AK | |
| P A T H O L O G Y | AK | |
| P A T H O L O G Y | AK | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | MI | |
| - | AK |
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