NICOLE L STEVENSON (MSN-NPC) – Family Nurse Practitioner, NPI 1063727204
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for NICOLE L STEVENSON (MSN-NPC)
PO BOX 1028
JASPER, IN 475471028
Phone: (812) 996-5255
Fax: (812) 996-8497
Type: Mailing
1003 E ILLINOIS ST
PETERSBURG, IN 475678068
Phone: (812) 354-3485
Fax: (812) 354-3459
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 164 Open Payments records for all available years, with a total value of $2,700.
Total Amount is formed as General ($2,700) + Research ($0) + Ownership ($0) = $2,700.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($381).
Total Amount
$2,700
General + Research + Ownership
Payments
164
Total payment records
General Amount
$2,700
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $381 |
| ABBVIE INC. | $296 |
| Corium, LLC | $251 |
| IRONSHORE PHARMACEUTICALS INC. | $241 |
| Lilly USA, LLC | $97 |
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: 2014-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101029000368 | I | Nurse Practitioner | IN | TBD |
| I20140324000889 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 19 | $0 |
| 81003 | Automated urinalysis test | 17 | 11 | $0 |
Insurance plans in this area (ZIP 47547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Family Practice | IN | |
| Family Practice | MI | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | TN | |
| - | KY | |
| Internal Medicine, Geriatric Medicine | IN | |
| Nurse Practitioner | ME |
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