NICOLE COHEN STOLLMAN (PA-C) – Medical Physician Assistant, NPI 1497212484
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NICOLE COHEN STOLLMAN (PA-C)
7125 ORCHARD LAKE RD
STE 316
WEST BLOOMFIELD, MI 483223629
Phone: (248) 847-4925
Fax: (248) 855-5455
Type: Mailing
Wendy Bagwell Parkway, Hiram, Paulding County, Georgia, 30073, United States
HIRAM, GA 301417819
Phone: (678) 741-2317
Type: Mailing
Canton Road Northeast, Powell Station, Marietta, Cobb County, Georgia, 30066, United States
MARIETTA, GA 300608949
Phone: (678) 741-5000
Type: Location
153 Clinton St Lowr Level
Brooklyn, NY 112014601
Phone: (212) 430-6677
Type: Location
711 Canton Rd NE Ste 300
Marietta, GA 300608949
Phone: (678) 741-5000
Type: Location
111 E 57th St Rm 202
New York, NY 100222645
Phone: (646) 921-6266
Type: Location
161 ATLANTIC AVE STE 202
BROOKLYN, NY 112016720
Phone: (212) 430-6677
Type: Mailing
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 $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Becton, Dickinson and Company ($101).
Total Amount
$138
General + Research + Ownership
Payments
3
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $101 |
| Tactile Systems Technology Inc | $38 |
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: 2021-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210714002912 | I | Physician Assistant | NY | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 48322)
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