HEATHER RENEE NOLAN (MD) – Pediatric Surgery Physician, NPI 1992065932
Pediatric Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
Provider Addresses for HEATHER RENEE NOLAN (MD)
3333 BURNET AVE
ML2023
CINCINNATI, OH 452293026
Phone: (513) 636-4371
Type: Mailing
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 450-6401
Type: Mailing
5153 N 9TH AVE
PENSACOLA, FL 325048785
Phone: (850) 416-1575
Fax: (850) 416-6142
Type: Location
5153 N 9th Ave
Pensacola, FL 325048785
Phone: (850) 416-1575
Fax: (850) 416-6142
Type: Location
550 Redstone Ave W Ste 320
Crestview, FL 325366442
Phone: (850) 416-1575
Fax: (850) 416-6142
Type: Location
PO BOX 60447
CHARLOTTE, NC 282600447
Phone:
Type: Mailing
1718 E 4TH ST STE 807
CHARLOTTE, NC 282043280
Phone: (980) 488-9630
Fax: (980) 488-9635
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $105.
Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: COLOPLAST CORP ($105).
Total Amount
$105
General + Research + Ownership
Payments
1
Total payment records
General Amount
$105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $105 |
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: 2025-08-20
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 |
|---|---|---|---|---|
| I20210708001029 | I | General Surgery | FL | TBD |
| I20250820000276 | I | General Surgery | NC | 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 45229)
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