NICHOLE MEYER – Clinical Social Worker, NPI 1568241016

NICHOLE MEYER is a healthcare provider. based in Coon rapids, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 23947 (MN). The NPI Number for NICHOLE MEYER is 1568241016

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLE MEYER
NPI
1568241016
Phone
(763) 910-1866
Address
785 85TH LN NW
Enumeration Date
25 September 2023
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637801520
Graduation Year
2017 (9 years ago)
PAC ID
7315394269
Group Practice PAC ID
2264432681
Professional Enrollment ID
I20231114002675
Address ID
MN554335861CO199XXNWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for NICHOLE MEYER

  • 785 85TH LN NW

    COON RAPIDS, MN 554336082

    Phone: (763) 910-1866

    Type: Mailing

  • 199 COON RAPIDS BLVD NW STE 306

    COON RAPIDS, MN 554335861

    Phone: (763) 780-1520

    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: 2023-11-14

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
I20231114002675IClinical Social WorkerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55433)

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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: 2264432681View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What is the registry number for NICHOLE MEYER?
The registry entry for NICHOLE MEYER shows NPI 1568241016.
Should I treat NICHOLE MEYER as an active provider?
Patients and plans typically see NICHOLE MEYER as active in the national extract.
Which specialty label fits NICHOLE MEYER?
NPPES ties NICHOLE MEYER to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is NICHOLE MEYER tied to Coon Rapids, Minnesota?
If you are local to Coon Rapids, Minnesota, NICHOLE MEYER may be relevant to your search.
Why is information missing for NICHOLE MEYER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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