NICOLE RENEE VAUGHN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1023469202

NICOLE RENEE VAUGHN (APRN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN002248 (NV). The NPI Number for NICOLE RENEE VAUGHN (APRN) is 1023469202

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE RENEE VAUGHN (APRN)
NPI
1023469202
Phone
(702) 405-8088
Address
222 S Rainbow Blvd
Enumeration Date
28 June 2016
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024058088
Graduation Year
2016 (10 years ago)
PAC ID
5890081004
Group Practice PAC ID
8820365729
Professional Enrollment ID
I20160913002837
Address ID
NV890328930NO2535XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for NICOLE RENEE VAUGHN (APRN)

  • 222 S Rainbow Blvd

    Ste. 114

    Las Vegas, NV 891455340

    Phone: (702) 405-8088

    Fax: (702) 405-6066

    Type: Location

  • South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89146-1126, United States

    STE. 114

    LAS VEGAS, NV 891455340

    Phone: (702) 405-8088

    Fax: (702) 405-6066

    Type: Mailing

  • 911 N BUFFALO DR UNIT 213

    LAS VEGAS, NV 891280381

    Phone: (702) 405-8088

    Type: Location

  • PO BOX 752003

    LAS VEGAS, NV 891362003

    Phone: (702) 405-8088

    Fax: (702) 405-6066

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,619.

Total Amount is formed as General ($1,619) + Research ($0) + Ownership ($0) = $1,619.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($419).

Total Amount

$1,619

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,619

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2016-09-13

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
I20160913002837INurse PractitionerNVTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes463153$0
99214Established patient office or other outpatient visit, 30-39 minutes450141$0
99204New patient office or other outpatient visit, 45-59 minutes4747$0
99215Established patient office or other outpatient visit, 40-54 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 89145)

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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: 8820365729View full group profile
NameSpecialtyState
Clinical Social WorkerNV
Nurse PractitionerNV
Undefined Non Physician Type (Specify)NV
Marriage And Family TherapistNV
Clinical Social WorkerNV
Clinical Social WorkerNV
Clinical Social WorkerNV
Nurse PractitionerNV
Nurse PractitionerNV
Clinical Social WorkerNV

Reviews

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Frequently asked questions

Is NICOLE RENEE VAUGHN (APRN) listed with a National Provider Identifier?
Yes — NICOLE RENEE VAUGHN (APRN) has NPI 1023469202 on file in the registry.
Is NICOLE RENEE VAUGHN (APRN) shown as active in public data?
Registry records indicate NICOLE RENEE VAUGHN (APRN) maintains an active NPI.
What kind of doctor is NICOLE RENEE VAUGHN (APRN)?
NICOLE RENEE VAUGHN (APRN) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NICOLE RENEE VAUGHN (APRN)?
Travel planning: use Las Vegas, Nevada as the reference point for NICOLE RENEE VAUGHN (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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