NICOLE LUNDY (MSN, CRNP, FNP-C) – Obstetrics & Gynecology Physician, NPI 1114489457

NICOLE LUNDY (MSN, CRNP, FNP-C) is a healthcare provider. based in Cumberland, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, CRNP, FNP-C. They hold a License No. SP020301 (PA). The NPI Number for NICOLE LUNDY (MSN, CRNP, FNP-C) is 1114489457

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LUNDY (MSN, CRNP, FNP-C)
NPI
1114489457
Phone
(301) 722-0484
Address
157 BALTIMORE ST STE 104
Enumeration Date
4 April 2019
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2674955455
Graduation Year
2019 (7 years ago)
PAC ID
6507295136
Group Practice PAC ID
8123200631
Professional Enrollment ID
I20200402003135
Address ID
PA190903051WI2848XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for NICOLE LUNDY (MSN, CRNP, FNP-C)

  • 157 BALTIMORE ST STE 104

    CUMBERLAND, MD 215022472

    Phone: (301) 722-0484

    Fax: (833) 903-0130

    Type: Mailing

  • 100 ABBEYVILLE RD

    LANCASTER, PA 176034604

    Phone: (301) 722-0484

    Fax: (833) 903-0130

    Type: Location

  • 740, Penn Avenue, West Reading, Berks County, Pennsylvania, 19611, United States

    WEST READING, PA 196111006

    Phone: (610) 376-3700

    Type: Mailing

  • 2100 MACK BLVD FL 4

    ALLENTOWN, PA 181035622

    Phone: (484) 884-4500

    Type: Mailing

  • 14351 KUTZTOWN RD

    FLEETWOOD, PA 195229273

    Phone: (610) 944-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-02

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
I20200402003135INurse PractitionerPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11199$0
99203New patient office or other outpatient visit, 30-44 minutes5858$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2222$0
81003Automated urinalysis test1816$0
96372Injection of drug or substance under skin or into muscle1616$0
View full utilization report →

Insurance plans in this area (ZIP 21502)

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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: 8123200631View full group profile

Reviews

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Frequently asked questions

Does NICOLE LUNDY (MSN, CRNP, FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE LUNDY (MSN, CRNP, FNP-C) uses 1114489457.
Is NICOLE LUNDY (MSN, CRNP, FNP-C) listed as active for patients and plans?
The listing shows NICOLE LUNDY (MSN, CRNP, FNP-C) as active in the NPI system.
What healthcare role does NICOLE LUNDY (MSN, CRNP, FNP-C) hold?
Scheduling teams often label NICOLE LUNDY (MSN, CRNP, FNP-C) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE LUNDY (MSN, CRNP, FNP-C)?
NICOLE LUNDY (MSN, CRNP, FNP-C)'s geographic hint is Cumberland, Maryland in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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