GINA M NICKELS-NELSON (FNP) – Family Nurse Practitioner, NPI 1376526921
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
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Provider Addresses for GINA M NICKELS-NELSON (FNP)
444, Stockbridge Road, Great Barrington, Berkshire County, Massachusetts, 01230, United States
GREAT BARRINGTON, MA 012301295
Phone: (413) 528-9311
Type: Mailing
North Street, Pittsfield, Berkshire County, Massachusetts, 01201, United States
PITTSFIELD, MA 012014147
Phone: (413) 499-8531
Fax: (413) 499-8560
Type: Location
3310 PATRIOT DR
TYLER, TX 757016606
Phone: (903) 877-7200
Fax: (903) 877-7778
Type: Mailing
1000 E 5TH ST STE 200
TYLER, TX 757013313
Phone: (903) 747-9600
Fax: (903) 747-9601
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,754.
Total Amount is formed as General ($1,754) + Research ($0) + Ownership ($0) = $1,754.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($360).
Total Amount
$1,754
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,754
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $360 |
| Genentech USA, Inc. | $195 |
| GlaxoSmithKline, LLC. | $167 |
| Phathom Pharmaceuticals, Inc. | $150 |
| PFIZER INC. | $120 |
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: 2022-08-11
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 |
|---|---|---|---|---|
| I20220811001878 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 19 | $0 |
Insurance plans in this area (ZIP 01230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | LA | |
| - | TX | |
| Pediatric Medicine, Pulmonary Disease | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Clinical Psychologist | WA | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX |
Reviews
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