NICOLE C STROUP (P.A) – Physician Assistant, NPI 1649472358

NICOLE C STROUP (P.A) is a healthcare provider. based in Mays landing, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A. They hold a License No. 25MP00104400 (NJ). The NPI Number for NICOLE C STROUP (P.A) is 1649472358

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE C STROUP (P.A)
NPI
1649472358
Phone
(609) 407-4939
Address
170 TRYENS DR
Enumeration Date
4 June 2007
Last Update Date
21 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3023642000
Graduation Year
2002 (24 years ago)
PAC ID
2860827151
Group Practice PAC ID
7911272299
Professional Enrollment ID
I20200114003197
Address ID
DE199045773DO260XXBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for NICOLE C STROUP (P.A)

  • 170 TRYENS DR

    MAYS LANDING, NJ 083304910

    Phone: (609) 407-4939

    Type: Mailing

  • 222, New Road, Somers Point Plaza, Ocean Heights, Somers Point, Atlantic County, New Jersey, 08244, United States

    LINWOOD, NJ 082211299

    Phone: (609) 653-6676

    Fax: (609) 653-8828

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,294.

Total Amount is formed as General ($1,294) + Research ($0) + Ownership ($0) = $1,294.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Janssen Biotech, Inc. ($500).

Total Amount

$1,294

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2020-01-14

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
I20200114003197IPhysician AssistantDETBD

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
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)13768$0
96573Application of light by qualified health care professional to destroy precancer skin growth7645$0
96574Application of light with debridement to destroy precancer skin growth4732$0
17000Destruction of precancer skin growth, 1 growth2015$0
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 08330)

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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: 7911272299View full group profile
NameSpecialtyState
Nurse PractitionerDE
Physician AssistantDE
D E R M A T O L O G YNJ

Reviews

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Frequently asked questions

What federal number belongs to NICOLE C STROUP (P.A)?
The federal identifier for NICOLE C STROUP (P.A) is NPI 1649472358.
Is NICOLE C STROUP (P.A) active in the national directory?
NICOLE C STROUP (P.A)'s public NPI profile is in an active state.
Can you summarize NICOLE C STROUP (P.A)'s specialty in plain language?
Clinically, the directory lists NICOLE C STROUP (P.A) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICOLE C STROUP (P.A)?
The page summarizes Mays Landing, New Jersey for NICOLE C STROUP (P.A); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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