NICOLLE MARIA DIGEROLAMO-THALLER (APRN, BC) – Adult Health Nurse Practitioner, NPI 1881873099
Adult Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for NICOLLE MARIA DIGEROLAMO-THALLER (APRN, BC)
614 E Grady St
Statesboro, GA 304582067
Phone: (912) 764-9001
Fax: (912) 764-3166
Type: Location
614, East Grady Street, Greenwood, Kingswood, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304582067
Phone: (912) 764-9001
Fax: (912) 764-3166
Type: Mailing
1497 FAIR RD STE 102
STATESBORO, GA 304580823
Phone: (912) 764-9001
Fax: (912) 764-3166
Type: Mailing
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (615) 465-7211
Fax: (615) 628-6877
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $176.
Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Mindray DS USA, Inc. ($48).
Total Amount
$176
General + Research + Ownership
Payments
9
Total payment records
General Amount
$176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mindray DS USA, Inc. | $48 |
| TOLMAR, INC. | $48 |
| Tolmar, Inc. | $31 |
| Sumitomo Pharma America, Inc. | $31 |
| Merck Sharp & Dohme LLC | $17 |
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: 2021-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210503002547 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81015 | Urinalysis using microscope | 53 | 39 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 25 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 30458)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Physician Assistant | TN | |
| A N E S T H E S I O L O G Y | NC | |
| Nurse Practitioner | GA | |
| Internal Medicine, Gastroenterology | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Pediatric Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
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