AMY FRANCES NICOLAS (CNP) – Family Nurse Practitioner, NPI 1619231834
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for AMY FRANCES NICOLAS (CNP)
300 SOUTH BRUCE STREET
AVARA MARSHALL
MARSHALL, MN 562581934
Phone: (507) 537-9007
Fax: (507) 537-2720
Mailing address matches the actual address.
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: 2012-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20121119000460 | I | Nurse Practitioner | MN | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 56258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology | MN | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| Internal Medicine | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | IL | |
| Family Practice, Emergency Medicine | MN | |
| Internal Medicine | MI | |
| Nurse Practitioner | MN |
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