NICOLE ANN STEWART (MD) – Student in an Organized Health Care Education/Training Program, NPI 1073177341
Student in an Organized Health Care Education/Training Program
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Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
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Provider Addresses for NICOLE ANN STEWART (MD)
86 W UNDERWOOD ST STE 201
ORLANDO, FL 328061110
Phone: (321) 841-5142
Fax: (407) 648-3686
Type: Mailing
77, Underwood Street, Orlando, Orange County, Florida, 32806, United States
ORLANDO, FL 328061122
Phone: (407) 649-6884
Fax: (407) 245-7059
Type: Location
800 West Ave S
La Crosse, WI 546018806
Phone: (608) 785-0940
Type: Location
77 W Underwood St
Orlando, FL 328061122
Phone: (407) 649-6884
Fax: (407) 245-7059
Type: Location
PO BOX 860912
MINNEAPOLIS, MN 554860912
Phone: (507) 284-2511
Type: Mailing
701 HEWITT BLVD
RED WING, MN 550662848
Phone: (507) 377-6285
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $422.
Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Baxter Healthcare ($146).
Total Amount
$422
General + Research + Ownership
Payments
4
Total payment records
General Amount
$422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $146 |
| W. L. Gore & Associates, Inc. | $146 |
| Integra LifeSciences Corporation | $130 |
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: 2026-03-05
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 |
|---|---|---|---|---|
| I20240829001479 | I | General Surgery | MN | TBD |
| I20260305001757 | I | General Surgery | WI | 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 32806)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Family Practice | WI | |
| Physician Assistant | MN | |
| - | MN | |
| Diagnostic Radiology | TN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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