NICOLE WERNER (DO) – Family Medicine Physician, NPI 1922620947

NICOLE WERNER (DO) is a healthcare provider. based in Okanogan, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OP61480847 (WA). The NPI Number for NICOLE WERNER (DO) is 1922620947

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE WERNER (DO)
NPI
1922620947
Phone
(509) 422-5700
Address
PO BOX 1340
Enumeration Date
13 May 2020
Last Update Date
18 October 2023

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5094225700
Graduation Year
2020 (6 years ago)
PAC ID
6204219751
Group Practice PAC ID
9739076217
Professional Enrollment ID
I20231030003409
Address ID
WA988419247OM1003XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for NICOLE WERNER (DO)

  • PO BOX 1340

    OKANOGAN, WA 988401340

    Phone: (509) 422-5700

    Type: Mailing

  • 1003 KOALA DR

    OMAK, WA 988419247

    Phone: (509) 422-5700

    Type: Location

  • 9669 AMONA CT

    SAINT LOUIS, MO 631236535

    Phone: (314) 435-5208

    Type: Location

  • 3730 PLAZA WAY FL 3

    KENNEWICK, WA 993382718

    Phone: (509) 221-6351

    Fax: (509) 221-6330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI PASTEUR INC.$34
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: 2023-10-30

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
I20231030003409IFamily PracticeWATBD

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 98840)

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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: 9739076217View full group profile
NameSpecialtyState
Internal MedicineWA
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA
-WA
Physician AssistantAZ
Family PracticeWA
Mental Health CounselorWA
General PracticeWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What federal number belongs to NICOLE WERNER (DO)?
The federal identifier for NICOLE WERNER (DO) is NPI 1922620947.
Is NICOLE WERNER (DO) active in the national directory?
NICOLE WERNER (DO)'s public NPI profile is in an active state.
Does NICOLE WERNER (DO) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for NICOLE WERNER (DO). Clinical services aligned with this taxonomy classification.
Does NICOLE WERNER (DO) practice in Washington?
You will see Okanogan, Washington on file for NICOLE WERNER (DO) alongside any extra practice locations.
How can I contact NICOLE WERNER (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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