NICOLE MANLIN (ANP) – Adult Health Nurse Practitioner, NPI 1649225103
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NICOLE MANLIN (ANP)
14805, North Outer 40, Chesterfield, Saint Louis County, Missouri, 63017, United States
SUITE 320
CHESTERFIELD, MO 630176060
Phone: (888) 811-4677
Type: Mailing
14855, North Outer 40, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630172026
Phone: (636) 532-0150
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Organogenesis Inc. ($244).
Total Amount
$244
General + Research + Ownership
Payments
4
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $244 |
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: 2006-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20051115001020 | I | Nurse Practitioner | MO | TBD |
| I20061019000442 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 687 | 144 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 334 | 125 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 138 | 68 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 104 | 28 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 63017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MO | 11042 | Removal of skin and tissue first 20 sq cm or less | 34 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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