NICHOLAS RIBBECK – Psychiatric/Mental Health Nurse Practitioner, NPI 1447132394

NICHOLAS RIBBECK is a healthcare provider. based in Pembroke pines, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 407288 (NY). The NPI Number for NICHOLAS RIBBECK is 1447132394

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
NICHOLAS RIBBECK
NPI
1447132394
Phone
Not provided
Address
530 NW 207TH AVE
Enumeration Date
22 July 2025
Last Update Date
11 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7723322635
Graduation Year
2025 (1 year ago)
PAC ID
0648777870
Group Practice PAC ID
6608153911
Professional Enrollment ID
I20251006003391
Address ID
FL329632258VE1702XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for NICHOLAS RIBBECK

  • 530 NW 207TH AVE

    PEMBROKE PINES, FL 330293482

    Phone:

    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: 2025-10-06

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
I20251006003391INurse PractitionerFLTBD

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 33029)

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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: 6608153911View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What unique ID ties claims to NICHOLAS RIBBECK?
NPI 1447132394 is assigned to NICHOLAS RIBBECK under the national enumeration system.
Is NICHOLAS RIBBECK currently active in the NPI registry?
CMS-published data lists NICHOLAS RIBBECK as an active registrant.
What kind of provider is NICHOLAS RIBBECK?
The page reflects Psychiatric/Mental Health Nurse Practitioner for NICHOLAS RIBBECK. Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS RIBBECK?
We surface Pembroke Pines, Florida for NICHOLAS RIBBECK based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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