NICOLE DORRIS – Primary Care Nurse Practitioner, NPI 1467192351

NICOLE DORRIS is a healthcare provider. based in College station, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1073424 (TX). The NPI Number for NICOLE DORRIS is 1467192351

Main info

Female
5 Years Of Experience
Name
NICOLE DORRIS
NPI
1467192351
Phone
(979) 216-3679
Address
2501 TEXAS AVE S
Enumeration Date
30 March 2022
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9364411010
Graduation Year
2021 (5 years ago)
PAC ID
5698141349
Group Practice PAC ID
8527329200
Professional Enrollment ID
I20221020001207
Address ID
TX773045074CO4015X45XX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for NICOLE DORRIS

  • 2501 TEXAS AVE S

    COLLEGE STATION, TX 778405079

    Phone: (979) 216-3679

    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 131 Open Payments records for all available years, with a total value of $2,129.

Total Amount is formed as General ($2,129) + Research ($0) + Ownership ($0) = $2,129.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($752).

Total Amount

$2,129

General + Research + Ownership

Payments

131

Total payment records

General Amount

$2,129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2022-10-20

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
I20221020001207INurse PractitionerTXTBD

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 77840)

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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: 8527329200View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Where can patients find NICOLE DORRIS's NPI?
You can confirm NICOLE DORRIS with NPI 1467192351; it appears in the national provider directory.
Is NICOLE DORRIS currently active in the NPI registry?
CMS-published data lists NICOLE DORRIS as an active registrant.
What kind of provider is NICOLE DORRIS?
The page reflects Primary Care Nurse Practitioner for NICOLE DORRIS. Clinical services aligned with this taxonomy classification.
What location shows for NICOLE DORRIS?
We surface College Station, Texas for NICOLE DORRIS based on available NPPES addresses.
Is NICOLE DORRIS a real provider?
This page reflects official NPPES data for NPI 1467192351. Always confirm identity and privileges with the practice and licensing boards.

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