NICOLE LYNN PARKER (RN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215551973

NICOLE LYNN PARKER (RN, PMHNP) is a healthcare provider. based in St peters, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, PMHNP. They hold a License No. 2020015659 (MO). The NPI Number for NICOLE LYNN PARKER (RN, PMHNP) is 1215551973

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LYNN PARKER (RN, PMHNP)
NPI
1215551973
Phone
(636) 939-2550
Address
255 SPENCER RD
Enumeration Date
28 May 2020
Last Update Date
9 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6364776111
Graduation Year
2020 (6 years ago)
PAC ID
4789063728
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20220621002944
Address ID
MO633762574SA255XXRDXX301

Contacts

Main Contact
Intake@lifestance.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

Provider Addresses for NICOLE LYNN PARKER (RN, PMHNP)

  • 255 SPENCER RD

    ST PETERS, MO 63376

    Phone: (636) 939-2550

    Fax: (636) 939-2551

    Type: Mailing

  • 1000 JACKSON ST APT 1

    SAINT CHARLES, MO 633012676

    Phone: (636) 448-4442

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($219).

Total Amount

$300

General + Research + Ownership

Payments

6

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

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: 2022-06-21

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
I20220621002944INurse PractitionerMOTBD

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 63376)

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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: 0446243760View full group profile

Reviews

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Frequently asked questions

What NPI should I save for NICOLE LYNN PARKER (RN, PMHNP)?
Save NPI 1215551973 if you need a stable reference for NICOLE LYNN PARKER (RN, PMHNP).
Is NICOLE LYNN PARKER (RN, PMHNP) currently active in the NPI registry?
CMS-published data lists NICOLE LYNN PARKER (RN, PMHNP) as an active registrant.
What field does NICOLE LYNN PARKER (RN, PMHNP) work in?
You can think of NICOLE LYNN PARKER (RN, PMHNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICOLE LYNN PARKER (RN, PMHNP)?
The page summarizes St Peters, Missouri for NICOLE LYNN PARKER (RN, PMHNP); expand the address list for detail.
Is NICOLE LYNN PARKER (RN, PMHNP) a real provider?
This page reflects official NPPES data for NPI 1215551973. Always confirm identity and privileges with the practice and licensing boards.

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