DYLAN MCNICOL – Nurse Practitioner, NPI 1780359679

DYLAN MCNICOL is a healthcare provider. based in Lambertville, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 860851 (NV). The NPI Number for DYLAN MCNICOL is 1780359679

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN MCNICOL
NPI
1780359679
Phone
Not provided
Address
3049 PEBBLE CREEK LN
Enumeration Date
12 August 2021
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029625920
Graduation Year
2021 (5 years ago)
PAC ID
6800286253
Group Practice PAC ID
1759469711
Professional Enrollment ID
I20230814001958
Address ID
NV891280459LA3150XWAYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for DYLAN MCNICOL

  • 3049 PEBBLE CREEK LN

    LAMBERTVILLE, MI 481446300

    Phone:

    Type: Mailing

  • 3000 ARLINGTON AVE

    TOLEDO, OH 436142595

    Phone: (419) 383-4000

    Type: Location

  • PO BOX 100744

    ATLANTA, GA 303840744

    Phone:

    Type: Mailing

  • 3150 N TENAYA WAY STE 260

    LAS VEGAS, NV 891280459

    Phone: (702) 962-5920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $595.

Total Amount is formed as General ($595) + Research ($0) + Ownership ($0) = $595.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: ATRICURE, INC. ($233).

Total Amount

$595

General + Research + Ownership

Payments

16

Total payment records

General Amount

$595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

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: 2023-08-14

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
I20230814001958INurse PractitionerNVTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3920$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2514$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 48144)

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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: 1759469711View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantNV
Internal Medicine, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
H E M A T O L O G Y/ O N C O L O G YCA
Physical Medicine And RehabilitationNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantGA
Colorectal Surgery (Proctology)NV

Reviews

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Frequently asked questions

What number should I use to identify DYLAN MCNICOL for billing?
Administrative and clinical systems typically use NPI 1780359679 for DYLAN MCNICOL.
Is DYLAN MCNICOL's NPI status active today?
Active status means DYLAN MCNICOL's NPI record is not deactivated in the public file.
How should patients interpret DYLAN MCNICOL's specialty?
The extract shows Nurse Practitioner for DYLAN MCNICOL. Clinical services aligned with this taxonomy classification.
Which community is linked to DYLAN MCNICOL?
DYLAN MCNICOL shows a connection to Lambertville, Michigan in registry-derived data.
Who maintains DYLAN MCNICOL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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