NICOLE MARIE EGGOLD (NP) – Family Nurse Practitioner, NPI 1982319133

NICOLE MARIE EGGOLD (NP) is a healthcare provider. based in Meridian, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 7171145 (ID). The NPI Number for NICOLE MARIE EGGOLD (NP) is 1982319133

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE EGGOLD (NP)
NPI
1982319133
Phone
(208) 650-4888
Address
1560 N CRESTMONT DR STE A
Enumeration Date
20 January 2023
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086504888
Graduation Year
2024 (2 years ago)
PAC ID
7911418843
Group Practice PAC ID
0648678920
Professional Enrollment ID
I20250617002344
Address ID
ID836422178ME1560XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for NICOLE MARIE EGGOLD (NP)

  • 1560 N CRESTMONT DR STE A

    MERIDIAN, ID 836422178

    Phone: (208) 650-4888

    Fax: (208) 650-4892

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($151).

Total Amount

$151

General + Research + Ownership

Payments

5

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$151
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: 2025-06-17

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
I20250617002344INurse PractitionerIDTBD

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 83642)

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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: 0648678920View full group profile
NameSpecialtyState
Nurse PractitionerID
C H I R O P R A C T I CID
Nurse PractitionerID

Reviews

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Frequently asked questions

How do I look up NICOLE MARIE EGGOLD (NP) by NPI?
Use NPI 1982319133 when you need to reference NICOLE MARIE EGGOLD (NP) in forms, claims, or directories.
Is NICOLE MARIE EGGOLD (NP)'s NPI currently valid?
The extract we use shows NICOLE MARIE EGGOLD (NP) as active.
Does NICOLE MARIE EGGOLD (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for NICOLE MARIE EGGOLD (NP). Clinical services aligned with this taxonomy classification.
What location shows for NICOLE MARIE EGGOLD (NP)?
We surface Meridian, Idaho for NICOLE MARIE EGGOLD (NP) based on available NPPES addresses.
Is NICOLE MARIE EGGOLD (NP) a real provider?
This page reflects official NPPES data for NPI 1982319133. Always confirm identity and privileges with the practice and licensing boards.

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