NICHOLAS HAYDEN ALDREDGE – Emergency Medicine Physician, NPI 1023640919

NICHOLAS HAYDEN ALDREDGE is a healthcare provider. based in Charlottesville, Virginia. specializing in EMERGENCY MEDICINE. They hold a License No. MD61477648 (WA). The NPI Number for NICHOLAS HAYDEN ALDREDGE is 1023640919

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS HAYDEN ALDREDGE
NPI
1023640919
Phone
Not provided
Address
PO BOX 800725
Enumeration Date
7 February 2020
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
2534031000
Graduation Year
2021 (5 years ago)
PAC ID
6800315037
Group Practice PAC ID
5294971800
Professional Enrollment ID
I20250521001799
Address ID
WA984054234TA315XXWAYX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for NICHOLAS HAYDEN ALDREDGE

  • PO BOX 800725

    CHARLOTTESVILLE, VA 229080725

    Phone:

    Type: Mailing

  • UNIVERSITY OF VIRGINIA MEDICAL CENTER 1225 LEE STREET

    CHARLOTTESVILLE, VA 229080001

    Phone: (434) 924-5571

    Type: Location

  • 850 REPUBLICAN ST # 358047

    SEATTLE, WA 981094725

    Phone:

    Type: Mailing

  • 315 MLK JR WAY

    TACOMA, WA 98405

    Phone:

    Type: Mailing

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: 2025-05-21

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
I20250521001799IEmergency MedicineWATBD

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 22908)

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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: 5294971800View full group profile
NameSpecialtyState
-WA
Emergency MedicineWA
-WA
Emergency MedicineMO
Emergency MedicineSC
Emergency MedicineMI
Emergency MedicineWA
Emergency MedicineNY
Emergency MedicineNM
Emergency MedicineOK

Reviews

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Frequently asked questions

What NPI should I save for NICHOLAS HAYDEN ALDREDGE?
Save NPI 1023640919 if you need a stable reference for NICHOLAS HAYDEN ALDREDGE.
Is NICHOLAS HAYDEN ALDREDGE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NICHOLAS HAYDEN ALDREDGE work in?
You can think of NICHOLAS HAYDEN ALDREDGE as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does NICHOLAS HAYDEN ALDREDGE practice in Virginia?
You will see Charlottesville, Virginia on file for NICHOLAS HAYDEN ALDREDGE alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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