NICOLETTE COHEN – Neurology Physician, NPI 1124480660

NICOLETTE COHEN is a healthcare provider. based in Joint base lewis mcchord, Washington. specializing in NEUROLOGY. They hold a License No. 1688 (NE). The NPI Number for NICOLETTE COHEN is 1124480660

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLETTE COHEN
NPI
1124480660
Phone
(253) 968-1399
Address
9040 FITZSIMMONS DR
Enumeration Date
23 March 2016
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
3073528125
Graduation Year
2016 (10 years ago)
PAC ID
1456625136
Group Practice PAC ID
0244124550
Professional Enrollment ID
I20241111001897
Address ID
WY829015863RO1180XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

590 NEUROLOGY in WA

Provider Addresses for NICOLETTE COHEN

  • 9040 FITZSIMMONS DR

    JOINT BASE LEWIS MCCHORD, WA 984311000

    Phone: (253) 968-1399

    Type: Location

  • 9300 DEWITT LOOP

    FORT BELVOIR, VA 220605285

    Phone: (571) 231-2756

    Fax: (571) 231-6663

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($100).

Total Amount

$141

General + Research + Ownership

Payments

3

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2025-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20240523000884INeurologyNETBD
I20241111001897INeurologyWYTBD
I20250206001741INeurologyNYTBD

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 98431)

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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: 0244124550View full group profile
NameSpecialtyState
Orthopedic SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YWY
Family PracticeWY
Internal MedicineWY
Internal Medicine, HospitalistNY
O T O L A R Y N G O L O G YWY
Family PracticeWY
Obstetrics/Gynecology, Family PracticeMO
Family PracticeWY
Nurse PractitionerWY

Reviews

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Frequently asked questions

Does NICOLETTE COHEN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLETTE COHEN uses 1124480660.
Can I rely on NICOLETTE COHEN being an active provider?
As of the registry snapshot, NICOLETTE COHEN is marked active.
What taxonomy line describes NICOLETTE COHEN?
For research purposes, treat NICOLETTE COHEN as Neurology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does NICOLETTE COHEN list a practice location?
Patients near Joint Base Lewis Mcchord, Washington may find NICOLETTE COHEN in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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