NICOLE MARIE WILSON (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1922401223
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for NICOLE MARIE WILSON (AGACNP-BC)
1044 BELMONT AVE
YOUNGSTOWN, OH 445041006
Phone: (330) 747-6881
Type: Location
9500 EUCLID AVEUNE
CLEVELAND, OH 441950001
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $727.
Total Amount is formed as General ($727) + Research ($0) + Ownership ($0) = $727.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($469).
Total Amount
$727
General + Research + Ownership
Payments
29
Total payment records
General Amount
$727
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $469 |
| ATRICURE, INC. | $138 |
| Edwards Lifesciences Corporation | $50 |
| Alkermes, Inc. | $25 |
| Phathom Pharmaceuticals, Inc. | $25 |
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: 2014-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20141206000339 | I | Nurse Practitioner | OH | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 21 | 16 | $0 |
Insurance plans in this area (ZIP 44504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Family Practice | IA | |
| Nurse Practitioner | PA | |
| Radiation Oncology | PA | |
| H O S P I T A L I S T | OH | |
| N E U R O L O G Y | OH |
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