NICOLE CROWDER (FNP) – Family Nurse Practitioner, NPI 1437506789

NICOLE CROWDER (FNP) is a healthcare provider. based in Salem, Virginia. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 0001214090 (VA). The NPI Number for NICOLE CROWDER (FNP) is 1437506789

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE CROWDER (FNP)
NPI
1437506789
Phone
(540) 772-3490
Address
1802 BRAEBURN DR
Enumeration Date
17 May 2016
Last Update Date
13 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409513311
Graduation Year
2016 (10 years ago)
PAC ID
9537456447
Group Practice PAC ID
1254304439
Professional Enrollment ID
I20160921000091
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

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Provider Addresses for NICOLE CROWDER (FNP)

  • 1802, Braeburn Drive, Braeburn, Salem, Salem (city), Virginia, 24153, United States

    SALEM, VA 241537357

    Phone: (540) 772-3490

    Fax: (540) 725-5069

    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 90 Open Payments records for all available years, with a total value of $1,610.

Total Amount is formed as General ($1,610) + Research ($0) + Ownership ($0) = $1,610.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($234).

Total Amount

$1,610

General + Research + Ownership

Payments

90

Total payment records

General Amount

$1,610

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2016-09-21

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
I20160921000091INurse PractitionerVATBD

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 24153)

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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: 1254304439View full group profile
NameSpecialtyState
Nurse PractitionerVA
-VA
Family PracticeVA

Reviews

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Frequently asked questions

What number should I use to identify NICOLE CROWDER (FNP) for billing?
Administrative and clinical systems typically use NPI 1437506789 for NICOLE CROWDER (FNP).
Is NICOLE CROWDER (FNP) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE CROWDER (FNP) as active.
How should patients interpret NICOLE CROWDER (FNP)'s specialty?
The extract shows Family Nurse Practitioner for NICOLE CROWDER (FNP). Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE CROWDER (FNP)?
The directory associates NICOLE CROWDER (FNP) with Salem, Virginia. Check all listed addresses for suites or satellite offices.
Who maintains NICOLE CROWDER (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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