MRS. NICOLE VIDAL (N.P.) – Nurse Practitioner, NPI 1376903724
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MRS. NICOLE VIDAL (N.P.)
1014 N Broadway
Santa Ana, CA 927013408
Phone: (949) 270-2100
Type: Location
PO BOX 10159
COSTA MESA, CA 926270050
Phone:
Type: Mailing
27725 SANTA MARGARITA PKWY STE 101
MISSION VIEJO, CA 926916706
Phone: (949) 270-2100
Type: Location
16601, Rhone Lane, Wintersburg, Huntington Beach, Orange County, California, 92647, United States
HUNTINGTON BEACH, CA 926474624
Phone:
Type: Mailing
UCI Medical Center, 101, The City Drive South, Orange, Orange County, California, 92868, United States
ORANGE, CA 92868
Phone: (714) 719-1136
Type: Location
800 N MAIN ST
SANTA ANA, CA 927013576
Phone:
Type: Mailing
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: 2019-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160427002470 | I | Nurse Practitioner | CA | TBD |
| I20190508000759 | I | Nurse Practitioner | SC | 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 92701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| - | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine, Neurology | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | MO | |
| Nurse Practitioner | CA |
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