NICOLE M BODINE (CRNP) – Family Nurse Practitioner, NPI 1780981159

NICOLE M BODINE (CRNP) is a healthcare provider. based in Pensacola, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-104085 (AL). The NPI Number for NICOLE M BODINE (CRNP) is 1780981159

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M BODINE (CRNP)
NPI
1780981159
Phone
(251) 967-4000
Address
PO BOX 2699
Enumeration Date
22 February 2011
Last Update Date
13 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2512134004
Graduation Year
2010 (16 years ago)
PAC ID
1850574120
Group Practice PAC ID
3375949035
Professional Enrollment ID
I20110323000869
Address ID
AL365352208FO1625XSTXX400

Contacts

Secure Messaging
nicole.bodine.4@1599.direct.athenahealth.com
Secure Messaging
nicole.bodine.1@1599.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

5,653 NURSE PRACTITIONER in AL

Provider Addresses for NICOLE M BODINE (CRNP)

  • PO BOX 2699

    ATTN SHMG/HPE

    PENSACOLA, FL 325132699

    Phone: (251) 967-4000

    Fax: (251) 967-2398

    Type: Mailing

  • 1700 W 2ND ST

    GULF SHORES, AL 365423422

    Phone: (251) 967-4000

    Fax: (251) 967-2398

    Type: Location

  • 1851 N McKenzie St Ste 206

    Foley, AL 365354702

    Phone: (251) 943-8515

    Fax: (251) 970-4206

    Type: Location

  • 101 E 15th Ave

    Gulf Shores, AL 365423501

    Phone: (251) 962-1250

    Fax: (251) 967-7832

    Type: Location

  • 21141 State Highway 59 Ste 1

    Robertsdale, AL 365676740

    Phone: (251) 424-1160

    Fax: (251) 424-1161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $2,178.

Total Amount is formed as General ($2,178) + Research ($0) + Ownership ($0) = $2,178.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($400).

Total Amount

$2,178

General + Research + Ownership

Payments

135

Total payment records

General Amount

$2,178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2011-03-23

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
I20110323000869INurse PractitionerALTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes530234$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7777$0
96372Injection of drug or substance under skin or into muscle7049$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6817$0
81003Automated urinalysis test6345$0
View full utilization report →

Insurance plans in this area (ZIP 32513)

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Provider's Procedures

NICOLE M BODINE (CRNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAL90670Pneumococcal vaccine for injection into muscle1616

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: 3375949035View full group profile
NameSpecialtyState
Nurse PractitionerAL
Hospitalist, Internal MedicineFL

Reviews

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Frequently asked questions

Where can patients find NICOLE M BODINE (CRNP)'s NPI?
You can confirm NICOLE M BODINE (CRNP) with NPI 1780981159; it appears in the national provider directory.
Is NICOLE M BODINE (CRNP) active in the national directory?
NICOLE M BODINE (CRNP)'s public NPI profile is in an active state.
What field does NICOLE M BODINE (CRNP) work in?
You can think of NICOLE M BODINE (CRNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does NICOLE M BODINE (CRNP) practice in Florida?
You will see Pensacola, Florida on file for NICOLE M BODINE (CRNP) alongside any extra practice locations.
What if Pensacola, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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