MEGAN NICKERSON (NP) – Family Nurse Practitioner, NPI 1275999047
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for MEGAN NICKERSON (NP)
194 WIESE ALBERT RD
HIGGANUM, CT 064414083
Phone: (860) 682-0565
Type: Mailing
80 E MAIN ST
MIDDLETOWN, CT 064573840
Phone: (860) 852-0304
Type: Location
1 Corwin Ct Ste 202
Newburgh, NY 125505176
Phone: (845) 391-0338
Type: Location
1 CORWIN CT STE 202
NEWBURGH, NY 125505176
Phone: (860) 682-0565
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: 2025-07-03
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 |
|---|---|---|---|---|
| I20161216000602 | I | Nurse Practitioner | CT | TBD |
| I20250703000153 | I | Nurse Practitioner | NY | 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 06441)
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