NICOLE MARIE CONWAY (NP-C) – Nurse Practitioner, NPI 1467098202

NICOLE MARIE CONWAY (NP-C) is a healthcare provider. based in Charlotte, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704249957 (MI). The NPI Number for NICOLE MARIE CONWAY (NP-C) is 1467098202

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE CONWAY (NP-C)
NPI
1467098202
Phone
Not provided
Address
126 CANTERBURY DR
Enumeration Date
26 November 2019
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6149540600
Graduation Year
2019 (7 years ago)
PAC ID
8426479122
Group Practice PAC ID
0840185203
Professional Enrollment ID
I20200604003174
Address ID
MI496863042TR418XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for NICOLE MARIE CONWAY (NP-C)

  • 126 CANTERBURY DR

    CHARLOTTE, MI 488131039

    Phone:

    Type: Mailing

  • 9880 E MICHIGAN AVE # 100

    GALESBURG, MI 490538641

    Phone: (269) 665-7092

    Type: Location

  • 9880 E MICHIGAN AVE STE 100

    GALESBURG, MI 490538641

    Phone: (269) 665-7092

    Type: Mailing

  • 830 W LAKE LANSING RD STE 150

    EAST LANSING, MI 488236372

    Phone: (517) 897-9200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $637.

Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($131).

Total Amount

$637

General + Research + Ownership

Payments

24

Total payment records

General Amount

$637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-06-04

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
I20200604003174INurse PractitionerMITBD

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
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less10432$0
96372Injection of drug or substance under skin or into muscle8325$0
View full utilization report →

Insurance plans in this area (ZIP 48813)

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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: 0840185203View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerIN
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

How is NICOLE MARIE CONWAY (NP-C) identified in CMS data?
CMS-hosted NPPES data lists NICOLE MARIE CONWAY (NP-C) with NPI 1467098202.
Does CMS list NICOLE MARIE CONWAY (NP-C) as active?
Yes — NICOLE MARIE CONWAY (NP-C) is active in the NPI listing used on this page.
What is NICOLE MARIE CONWAY (NP-C)'s primary classification?
Nurse Practitioner is the headline specialty for NICOLE MARIE CONWAY (NP-C) here. Clinical services aligned with this taxonomy classification.
Where is NICOLE MARIE CONWAY (NP-C) based?
NICOLE MARIE CONWAY (NP-C) is tied to Charlotte, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about NICOLE MARIE CONWAY (NP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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