NICOLE M ELLISON (M.D.) – Family Medicine Physician, NPI 1013013721
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for NICOLE M ELLISON (M.D.)
46 SANDWELL PL
SPRING, TX 773892038
Phone: (501) 837-3680
Type: Mailing
Tyler County Hospital, 1100, West Bluff Street, Woodville, Tyler County, Texas, 75979, United States
WOODVILLE, TX 759794738
Phone: (409) 283-8141
Type: Location
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: 2026-01-08
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 |
|---|---|---|---|---|
| I20090723000576 | I | Family Practice | TX | TBD |
| I20260108000266 | I | Family Practice | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 113 | 104 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 103 | 95 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 19 | 19 | $0 |
| 71045 | X-ray of chest, 1 view | 16 | 16 | $0 |
Insurance plans in this area (ZIP 77389)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Emergency Medicine | TX | |
| Family Practice | GA | |
| Family Practice | CA | |
| Nurse Practitioner | FL | |
| Emergency Medicine | PA | |
| Emergency Medicine | FL | |
| Nurse Practitioner | MA | |
| Emergency Medicine | FL |
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