NICOLE KHAZEI – Primary Care Nurse Practitioner, NPI 1205564184

NICOLE KHAZEI is a healthcare provider. based in Wheat ridge, Colorado. specializing in NURSE PRACTITIONER. They hold a License No. 0997879-NP (CO). The NPI Number for NICOLE KHAZEI is 1205564184

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE KHAZEI
NPI
1205564184
Phone
(303) 993-1330
Address
10900 W 44TH AVE UNIT 200
Enumeration Date
9 August 2022
Last Update Date
9 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7205005488
Graduation Year
2022 (4 years ago)
PAC ID
6103201264
Group Practice PAC ID
1850694985
Professional Enrollment ID
I20220910000592
Address ID
CO802032768DE925XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for NICOLE KHAZEI

  • 10900 W 44TH AVE UNIT 200

    WHEAT RIDGE, CO 800332742

    Phone: (303) 993-1330

    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)

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: 2022-09-10

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
I20220910000592INurse PractitionerCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes454112$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes453115$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month19576$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month11754$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes11649$0
View full utilization report →

Insurance plans in this area (ZIP 80033)

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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: 1850694985View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerWA
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What number should I use to identify NICOLE KHAZEI for billing?
Administrative and clinical systems typically use NPI 1205564184 for NICOLE KHAZEI.
Quick check: is NICOLE KHAZEI active?
Public NPPES data shows NICOLE KHAZEI with an active NPI status right now.
Which specialty label fits NICOLE KHAZEI?
NPPES ties NICOLE KHAZEI to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is NICOLE KHAZEI tied to Wheat Ridge, Colorado?
If you are local to Wheat Ridge, Colorado, NICOLE KHAZEI may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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