NICOLE HUCKABEE – Nurse Practitioner, NPI 1760453369

NICOLE HUCKABEE is a healthcare provider. based in Cape girardeau, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 137973 (MO). The NPI Number for NICOLE HUCKABEE is 1760453369

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE HUCKABEE
NPI
1760453369
Phone
(573) 339-0483
Address
1702 N KINGSHIGHWAY ST
Enumeration Date
31 January 2006
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
1456427897
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20080908000552
Address ID
MO637035049CA24XXXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for NICOLE HUCKABEE

  • North Kingshighway, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637012122

    Phone: (573) 339-0483

    Fax: (573) 339-1876

    Type: Location

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-3000

    Fax: (573) 331-5073

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($109).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2008-09-08

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
I20080908000552INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test2720$0
71046X-ray of chest, 2 views1414$0
View full utilization report →

Insurance plans in this area (ZIP 63701)

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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: 9931007929View full group profile
NameSpecialtyState
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
General SurgeryMO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

Can I use this page to confirm NICOLE HUCKABEE's NPI?
Yes. NICOLE HUCKABEE is listed with NPI 1760453369 in the public NPI dataset.
Does CMS list NICOLE HUCKABEE as active?
Yes — NICOLE HUCKABEE is active in the NPI listing used on this page.
What is NICOLE HUCKABEE's primary classification?
Nurse Practitioner is the headline specialty for NICOLE HUCKABEE here. Clinical services aligned with this taxonomy classification.
Where should I expect NICOLE HUCKABEE on a map?
Expect Cape Girardeau, Missouri as a primary anchor for NICOLE HUCKABEE unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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