NICOLE LYNN SCHIFFERDECKER (APRN) – Family Nurse Practitioner, NPI 1164307955

NICOLE LYNN SCHIFFERDECKER (APRN) is a healthcare provider. based in Reno, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 892798 (NV). The NPI Number for NICOLE LYNN SCHIFFERDECKER (APRN) is 1164307955

Main info

Female
1 Year Of Experience
Name
NICOLE LYNN SCHIFFERDECKER (APRN)
NPI
1164307955
Phone
(775) 825-5008
Address
9484 Double R Blvd Ste A
Enumeration Date
11 August 2025
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7752456117
Graduation Year
2025 (1 year ago)
PAC ID
9537666938
Group Practice PAC ID
4789075706
Professional Enrollment ID
I20251010001449
Address ID
NV895232882RE6255XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for NICOLE LYNN SCHIFFERDECKER (APRN)

  • 9484 Double R Blvd Ste A

    Reno, NV 895212993

    Phone: (775) 825-5008

    Type: Location

  • 6255 SHARLANDS AVE

    RENO, NV 895232882

    Phone: (775) 245-6117

    Fax: (775) 245-6118

    Type: Mailing

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: 2025-10-10

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
I20251010001449INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89521)

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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: 4789075706View full group profile
NameSpecialtyState
Internal MedicineNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE LYNN SCHIFFERDECKER (APRN)?
NICOLE LYNN SCHIFFERDECKER (APRN) — NPI 1164307955 — is the standard way to identify this listing.
Is NICOLE LYNN SCHIFFERDECKER (APRN) still practicing?
NICOLE LYNN SCHIFFERDECKER (APRN) is currently listed as active in the public NPI registry.
What healthcare role does NICOLE LYNN SCHIFFERDECKER (APRN) hold?
Scheduling teams often label NICOLE LYNN SCHIFFERDECKER (APRN) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does NICOLE LYNN SCHIFFERDECKER (APRN) list a practice location?
Patients near Reno, Nevada may find NICOLE LYNN SCHIFFERDECKER (APRN) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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