MEGAN COLLEEN NUCKOLS (FNP) – Nurse Practitioner, NPI 1457112880

MEGAN COLLEEN NUCKOLS (FNP) is a healthcare provider. based in Apple valley, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95028759 (CA). The NPI Number for MEGAN COLLEEN NUCKOLS (FNP) is 1457112880

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN COLLEEN NUCKOLS (FNP)
NPI
1457112880
Phone
(951) 795-5653
Address
11008 QUINNAULT RD
Enumeration Date
22 January 2024
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
88843488806
Graduation Year
2023 (3 years ago)
PAC ID
2365889763
Group Practice PAC ID
4284726159
Professional Enrollment ID
I20240321000115
Address ID
CA928215805BR135XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MEGAN COLLEEN NUCKOLS (FNP)

  • 11008 QUINNAULT RD

    APPLE VALLEY, CA 923089405

    Phone: (951) 795-5653

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($27).

Total Amount

$125

General + Research + Ownership

Payments

6

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-03-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240321000115INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 92308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284726159View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerWY
Nurse PractitionerUT
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerUT
Nurse PractitionerCA
General SurgeryNV

Reviews

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Frequently asked questions

Can I verify MEGAN COLLEEN NUCKOLS (FNP) with an NPI only?
You can start verification with NPI 1457112880 for MEGAN COLLEEN NUCKOLS (FNP), then check state licensing separately.
Can I rely on MEGAN COLLEEN NUCKOLS (FNP) being an active provider?
As of the registry snapshot, MEGAN COLLEEN NUCKOLS (FNP) is marked active.
What is MEGAN COLLEEN NUCKOLS (FNP) best known for clinically?
Directory data describes MEGAN COLLEEN NUCKOLS (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MEGAN COLLEEN NUCKOLS (FNP)?
MEGAN COLLEEN NUCKOLS (FNP)'s geographic hint is Apple Valley, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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