MRS. MONA JEAN NICKERSON (APRN, FNP-C) – Family Nurse Practitioner, NPI 1154734994

MRS. MONA JEAN NICKERSON (APRN, FNP-C) is a healthcare provider. based in Ada, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 96054 (OK). The NPI Number for MRS. MONA JEAN NICKERSON (APRN, FNP-C) is 1154734994

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MONA JEAN NICKERSON (APRN, FNP-C)
NPI
1154734994
Phone
(580) 436-2262
Address
301 N Monte Vista St
Enumeration Date
10 June 2014
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807590022
Graduation Year
2014 (12 years ago)
PAC ID
1153543830
Group Practice PAC ID
3375976798
Professional Enrollment ID
I20141113000372
Address ID
OK748209415AD809XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. MONA JEAN NICKERSON (APRN, FNP-C)

  • 301 N Monte Vista St

    Ada, OK 748204607

    Phone: (580) 436-2262

    Type: Location

  • 721 BETTER NOW PLZ

    ADA, OK 748202279

    Phone: (580) 272-0025

    Fax: (580) 272-5669

    Type: Location

  • 902 ARLINGTON CTR

    ADA, OK 748202883

    Phone: (580) 272-0025

    Fax: (580) 272-5669

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($118).

Total Amount

$160

General + Research + Ownership

Payments

4

Total payment records

General Amount

$160

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

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: 2014-11-13

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
I20141113000372INurse PractitionerOKTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3,334366$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,143245$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes187166$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 74820)

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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: 3375976798View full group profile
NameSpecialtyState
Nurse PractitionerOK
P S Y C H I A T R YOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What is the standard ID for MRS. MONA JEAN NICKERSON (APRN, FNP-C) in the U.S.?
In the U.S., MRS. MONA JEAN NICKERSON (APRN, FNP-C) is identified by NPI 1154734994.
Should I treat MRS. MONA JEAN NICKERSON (APRN, FNP-C) as an active provider?
Patients and plans typically see MRS. MONA JEAN NICKERSON (APRN, FNP-C) as active in the national extract.
What services align with MRS. MONA JEAN NICKERSON (APRN, FNP-C)'s listing?
MRS. MONA JEAN NICKERSON (APRN, FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. MONA JEAN NICKERSON (APRN, FNP-C)?
The directory associates MRS. MONA JEAN NICKERSON (APRN, FNP-C) with Ada, Oklahoma. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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