NICOLE MARIE STEWART – Medical Physician Assistant, NPI 1114771102

NICOLE MARIE STEWART is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA18264 (TX). The NPI Number for NICOLE MARIE STEWART is 1114771102

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE STEWART
NPI
1114771102
Phone
(512) 454-5171
Address
1004 W 32ND ST STE 400
Enumeration Date
15 April 2024
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124545171
Graduation Year
2024 (2 years ago)
PAC ID
6204377542
Group Practice PAC ID
0648281972
Professional Enrollment ID
I20240926000811
Address ID
TX787051914AU1004XSTXX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for NICOLE MARIE STEWART

  • 1004 W 32ND ST STE 400

    AUSTIN, TX 787051915

    Phone: (512) 454-5171

    Fax: (512) 454-0704

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($113).

Total Amount

$214

General + Research + Ownership

Payments

7

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-09-26

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
I20240926000811IPhysician AssistantTXTBD

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 78705)

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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: 0648281972View full group profile

Reviews

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Frequently asked questions

How do payers reference NICOLE MARIE STEWART?
For NICOLE MARIE STEWART, use NPI 1114771102 as the unique 10-digit identifier.
Active or inactive — what applies to NICOLE MARIE STEWART?
You should see NICOLE MARIE STEWART as active in CMS-hosted NPPES data.
What kind of doctor is NICOLE MARIE STEWART?
NICOLE MARIE STEWART is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is NICOLE MARIE STEWART located near Austin?
NICOLE MARIE STEWART currently maps to Austin, Texas in this extract.
Does NICOLE MARIE STEWART accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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