NICHOLAS HAVENS (M.D.) – Infectious Disease Physician, NPI 1952403016
Infectious Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NICHOLAS HAVENS (M.D.)
Hospital Drive, Columbia, Columbia Township, Boone County, Missouri, 65212, United States
COLUMBIA, MO 652120001
Phone: (573) 882-8727
Fax: (573) 884-5790
Type: Location
Columbia Post Office, 6801, Oak Hall Lane, Howard County, Maryland, 21045, United States
COLUMBIA, MO 652057687
Phone: (573) 882-2259
Type: Mailing
1 HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-8727
Fax: (573) 884-5790
Type: Location
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: 2010-12-23
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 |
|---|---|---|---|---|
| I20101223000117 | I | Infectious Disease | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65212)
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