DR. STACY ANN NICHOLS-BYLL (M.D.) – Pediatrics Physician, NPI 1487624607
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DR. STACY ANN NICHOLS-BYLL (M.D.)
Midtown Health Center, 302, Phillip Avenue, Mackels Mobile Home Court, Norfolk, Madison County, Nebraska, 68701, United States
NORFOLK, NE 687015248
Phone: (402) 371-8000
Fax: (402) 371-0971
Type: Location
HM Geneva, Millers Tank Bund Road, Kaverappa Layout, Vasanth Nagar, Bengaluru Central City Corporation, Bengaluru, Bangalore North, Bengaluru Urban, Karnataka, 560052, India
GENEVA, NE 683613103
Phone: (830) 399-5455
Type: Mailing
6322 ARBOR DR
SHREWSBURY, MA 015456017
Phone: (830) 399-5455
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($24).
Total Amount
$61
General + Research + Ownership
Payments
3
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $24 |
| Merck Sharp & Dohme LLC | $20 |
| Kowa Pharmaceuticals America, Inc. | $17 |
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: 2019-09-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170607001204 | I | Pediatric Medicine | TX | TBD |
| I20190906001635 | I | Pediatric Medicine | VA | TBD |
| I20190919002154 | I | Pediatric Medicine | VI | 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 68701)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.