NICOLE ROCK (DO) – Internal Medicine Physician, NPI 1013667286

NICOLE ROCK (DO) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO3859 (NV). The NPI Number for NICOLE ROCK (DO) is 1013667286

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ROCK (DO)
NPI
1013667286
Phone
Not provided
Address
3100 N TENAYA WAY
Enumeration Date
28 March 2022
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023045900
Graduation Year
2022 (4 years ago)
PAC ID
9638684764
Group Practice PAC ID
1254571896
Professional Enrollment ID
I20250716002788
Address ID
NV891175485LA8689XBLVD416
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,575 INTERNAL MEDICINE in NV

Provider Addresses for NICOLE ROCK (DO)

  • 3100 N TENAYA WAY

    LAS VEGAS, NV 891280436

    Phone:

    Type: Mailing

  • PO BOX 33269

    PHOENIX, AZ 850673269

    Phone: (602) 406-4786

    Fax: (916) 636-4358

    Type: Mailing

  • 4855 BLUE DIAMOND RD STE 220

    LAS VEGAS, NV 891397602

    Phone: (702) 620-7007

    Fax: (702) 386-0005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

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: 2025-07-16

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
I20250716002788IInternal MedicineNVTBD

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 89128)

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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: 1254571896View full group profile
NameSpecialtyState
Internal MedicineNV
Infectious DiseaseNY
Family PracticeNY
Internal MedicineNV
Internal MedicineNV
Critical Care (Intensivists), Pulmonary DiseaseAZ
Nurse PractitionerNV
Internal Medicine, HospitalistNV
Hospitalist, Internal MedicineNV
Family PracticeCA

Reviews

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Frequently asked questions

What unique ID ties claims to NICOLE ROCK (DO)?
NPI 1013667286 is assigned to NICOLE ROCK (DO) under the national enumeration system.
Is NICOLE ROCK (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does NICOLE ROCK (DO) treat or focus on?
Patients typically see NICOLE ROCK (DO) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is NICOLE ROCK (DO)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for NICOLE ROCK (DO).
How can I contact NICOLE ROCK (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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