NICOLE ANDERS (PSY.D.) – Clinical Psychologist, NPI 1053771105
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
158 CLINICAL PSYCHOLOGIST in NV
Provider Addresses for NICOLE ANDERS (PSY.D.)
6900 PECOS RD
N LAS VEGAS, NV 890864400
Phone: (702) 791-9000
Type: Location
6900 Pecos Rd
N Las Vegas, NV 890864400
Phone: (702) 791-9000
Type: Location
9713 Santa Monica Blvd Ste 201
Beverly Hills, CA 902104236
Phone: (833) 624-5400
Fax: (866) 497-0441
Type: Location
North Las Vegas VA Medical Center, 6900, North Pecos Road, North Las Vegas, Clark County, Nevada, 89086, United States
NORTH LAS VEGAS, NV 890864400
Phone:
Type: Mailing
6787 W TROPICANA AVE STE 241
LAS VEGAS, NV 891034759
Phone: (833) 624-5400
Fax: (866) 497-0441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-07-07
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 |
|---|---|---|---|---|
| I20180622002316 | I | Clinical Psychologist | NV | TBD |
| I20210707002308 | I | Clinical Psychologist | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | CA | |
| Marriage And Family Therapist | CA | |
| Marriage And Family Therapist | NV | |
| Clinical Psychologist | CA |
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