MS. NANCY J NICKERSON (AHCNS) – Clinical Nurse Specialist, NPI 1053490508
Clinical Nurse Specialist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
62 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MO
Provider Addresses for MS. NANCY J NICKERSON (AHCNS)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-7260
Fax: (866) 272-2816
Type: Mailing
4921 PARKVIEW PL
DIV SURG CT ADULT CARDIO, STE 8A
SAINT LOUIS, MO 631101032
Phone: (314) 362-7260
Fax: (866) 272-2816
Type: Location
150, North Ballas Road, Kirkwood, Saint Louis County, Missouri, 63122, United States
SAINT LOUIS, MO 631312319
Phone: (314) 996-5287
Fax: (314) 432-6068
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $379.
Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ATRICURE, INC. ($278).
Total Amount
$379
General + Research + Ownership
Payments
3
Total payment records
General Amount
$379
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $278 |
| ABIOMED | $101 |
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: 2018-10-18
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 |
|---|---|---|---|---|
| I20181018001911 | I | Certified Clinical Nurse Specialist (Cns) | MO | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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