NICOLE SWEENEY (PA-C, RD) – Medical Physician Assistant, NPI 1164473765
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NICOLE SWEENEY (PA-C, RD)
1835 WRONDEL WAY
RENO, NV 895023310
Phone: (775) 750-5046
Type: Mailing
1155 MILL ST
RENO, NV 895021576
Phone: (775) 982-4330
Type: Location
783 Basque Way Ste 103
Carson City, NV 897067981
Phone: (286) 777-5720
Fax: (775) 245-2867
Type: Location
3980 Lake Placid Dr
Reno, NV 895116702
Phone: (775) 470-8260
Type: Location
75, Pringle Way, Reno, Washoe County, Nevada, 89502, United States
RENO, NV 895021469
Phone: (775) 786-7216
Fax: (775) 786-9365
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
| GlaxoSmithKline, LLC. | $19 |
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: 2022-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060517000039 | I | Physician Assistant | NV | TBD |
| I20220810003634 | I | Registered Dietitian Or Nutrition Professional | NV | 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 89502)
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Reviews
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