NICOLE COUVILLON FAWCETT (AGNP-C) – Gerontology Nurse Practitioner, NPI 1649772716

NICOLE COUVILLON FAWCETT (AGNP-C) is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. AP136808 (TX). The NPI Number for NICOLE COUVILLON FAWCETT (AGNP-C) is 1649772716

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE COUVILLON FAWCETT (AGNP-C)
NPI
1649772716
Phone
(713) 533-1700
Address
6699 Chimney Rock Rd Ste 201
Enumeration Date
5 March 2018
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7139527600
Graduation Year
2017 (9 years ago)
PAC ID
8325387830
Group Practice PAC ID
6305918103
Professional Enrollment ID
I20190228000327
Address ID
TX770191122HO1015XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for NICOLE COUVILLON FAWCETT (AGNP-C)

  • 6699 Chimney Rock Rd Ste 201

    Houston, TX 770815339

    Phone: (713) 533-1700

    Fax: (713) 533-1708

    Type: Location

  • 201, Chimney Rock Road, Huntleigh, Houston, Harris County, Texas, 77024, United States

    HOUSTON, TX 770815339

    Phone: (713) 533-1700

    Fax: (713) 533-1708

    Type: Location

  • 2121 Scarsdale Blvd

    Pearland, TX 775815190

    Phone: (281) 464-8740

    Type: Location

  • 1407 Studewood St

    Houston, TX 770084588

    Phone: (713) 802-9700

    Type: Location

  • 4141 N Braeswood Blvd

    Houston, TX 770252900

    Phone: (713) 665-4141

    Type: Location

  • 1015 S Shepherd Dr

    Houston, TX 770191122

    Phone: (713) 952-7600

    Type: Location

  • 5020 Kelvin Dr

    Houston, TX 770052533

    Phone: (281) 886-8082

    Type: Location

  • 20305 Holzwarth Rd

    Spring, TX 773885582

    Phone: (281) 257-2299

    Type: Location

  • 2929 W Holcombe Blvd

    Houston, TX 770251534

    Phone: (713) 592-9200

    Type: Location

  • 2855 Westminster Plaza Dr

    Houston, TX 770822960

    Phone: (281) 556-6020

    Type: Location

  • 4048 Red Bluff Rd

    Pasadena, TX 775033606

    Phone: (713) 477-7877

    Type: Location

  • 14100 Karissa Ct

    Houston, TX 770493866

    Phone: (713) 340-5200

    Type: Location

  • 4620 Bellaire Blvd

    Bellaire, TX 774014231

    Phone: (713) 665-3888

    Type: Location

  • 331 Fall Creek Dr

    Huffman, TX 773362887

    Phone: (281) 235-2974

    Type: Location

  • PO BOX 873

    BELLAIRE, TX 774020873

    Phone: (713) 533-1700

    Fax: (713) 533-1708

    Type: Mailing

  • 3100 WESLAYAN ST STE 350

    HOUSTON, TX 770275733

    Phone: (713) 533-1700

    Fax: (713) 533-1708

    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: 2019-02-28

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
I20190228000327INurse 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 77081)

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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: 6305918103View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Family PracticeTX

Reviews

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Frequently asked questions

What identifier follows NICOLE COUVILLON FAWCETT (AGNP-C) across health systems?
The NPI 1649772716 uniquely identifies NICOLE COUVILLON FAWCETT (AGNP-C) in U.S. healthcare data.
Does the public listing show NICOLE COUVILLON FAWCETT (AGNP-C) as active?
NICOLE COUVILLON FAWCETT (AGNP-C)'s NPI record reflects an active status in NPPES.
What services align with NICOLE COUVILLON FAWCETT (AGNP-C)'s listing?
NICOLE COUVILLON FAWCETT (AGNP-C)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE COUVILLON FAWCETT (AGNP-C)?
The directory associates NICOLE COUVILLON FAWCETT (AGNP-C) with Houston, Texas. Check all listed addresses for suites or satellite offices.
Who maintains NICOLE COUVILLON FAWCETT (AGNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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