NICOLE GOREY (APRN) – Family Nurse Practitioner, NPI 1609753797

NICOLE GOREY (APRN) is a healthcare provider. based in Pryor, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 225322 (OK). The NPI Number for NICOLE GOREY (APRN) is 1609753797

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE GOREY (APRN)
NPI
1609753797
Phone
Not provided
Address
4115 REDDEN
Enumeration Date
19 August 2025
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9188257555
Graduation Year
2021 (5 years ago)
PAC ID
6305334921
Group Practice PAC ID
6608393715
Professional Enrollment ID
I20251024000241
Address ID
OK743619192PR4115XREDD200
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

3,299 NURSE PRACTITIONER in OK

Provider Addresses for NICOLE GOREY (APRN)

  • 4115 REDDEN

    PRYOR, OK 743619192

    Phone:

    Mailing address matches the actual address.

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: 2025-10-24

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
I20251024000241INurse 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.

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

Insurance plans in this area (ZIP 74361)

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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: 6608393715View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
Family Practice, Emergency MedicineOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantTX
Physician AssistantOK
Nurse PractitionerCO
Physician AssistantOK

Reviews

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Frequently asked questions

Where can patients find NICOLE GOREY (APRN)'s NPI?
You can confirm NICOLE GOREY (APRN) with NPI 1609753797; it appears in the national provider directory.
Is NICOLE GOREY (APRN) currently active in the NPI registry?
CMS-published data lists NICOLE GOREY (APRN) as an active registrant.
Does NICOLE GOREY (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for NICOLE GOREY (APRN). Clinical services aligned with this taxonomy classification.
Does NICOLE GOREY (APRN) practice in Oklahoma?
You will see Pryor, Oklahoma on file for NICOLE GOREY (APRN) alongside any extra practice locations.
What if Pryor, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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