NICOLE STUBBS (NP) – Acute Care Nurse Practitioner, NPI 1790273290

NICOLE STUBBS (NP) is a healthcare provider. based in Stockbridge, Georgia. specializing in Acute Care Nurse Practitioner. They hold the professional credentials NP. They hold a License No. RN145754 (GA). The NPI Number for NICOLE STUBBS (NP) is 1790273290

Main info

Female
9 Years Of Experience
Name
NICOLE STUBBS (NP)
NPI
1790273290
Phone
(770) 741-1750
Address
7444 HANNOVER PKWY S STE 210
Enumeration Date
30 April 2018
Last Update Date
30 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709183000
Graduation Year
2017 (9 years ago)
PAC ID
0042575052
Group Practice PAC ID
3870832843
Professional Enrollment ID
I20180522002354
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for NICOLE STUBBS (NP)

  • 7444 HANNOVER PKWY S STE 210

    STOCKBRIDGE, GA 302817847

    Phone: (770) 741-1750

    Fax: (770) 741-1755

    Type: Location

  • McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60521, United States

    BURR RIDGE, IL 605270872

    Phone: (630) 655-6748

    Fax: (630) 734-4715

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $447.

Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.

Last reported payment date: 2024-03-02 • Largest payer in this snapshot: ViiV Healthcare Company ($316).

Total Amount

$447

General + Research + Ownership

Payments

17

Total payment records

General Amount

$447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-05-22

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
I20180522002354INurse PractitionerGATBD

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 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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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: 3870832843View full group profile

Reviews

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Frequently asked questions

Can I cross-check NICOLE STUBBS (NP) using NPI 1790273290?
NPI 1790273290 belongs to NICOLE STUBBS (NP); compare other details if you need extra assurance.
Is there an active status for NICOLE STUBBS (NP)?
For scheduling context, NICOLE STUBBS (NP) is shown as active in the registry.
How would a patient describe NICOLE STUBBS (NP)'s focus?
For NICOLE STUBBS (NP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE STUBBS (NP)?
Directory geography for NICOLE STUBBS (NP) centers on Stockbridge, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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