1. Home
  2. Directory
  3. Alabama
  4. Dothan
  5. Nurse Practitioner
  6. NPI Profile

NICOLLE HORAITIS CRNP
NPI 1023820388
Nurse Practitioner in Dothan, AL

Active since January 23, 2025PECOS EnrolledAccepts Medicare Assignment
1108 ROSS CLARK CIR # 4, DOTHAN, AL 36301(334) 355-1706 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicolle Horaitis Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLLE HORAITIS CRNP (NPI 1023820388) is an individual nurse practitioner in Dothan, Alabama, licensed in Alabama (1-152350) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023820388
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLLE HORAITISCredential: CRNP
Location Address1108 ROSS CLARK CIR # 4Dothan, AL 36301-3022
Mailing Address108 Park DrAbbeville, AL 36310-2612 · (334) 355-1706
Phone(334) 355-1706
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 23, 2025
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1023820388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-152350
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1108 ROSS CLARK CIR # 4, Dothan, AL 36301
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicolle Stafford

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolle Horaitis Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375032824
PECOS Enrollment IDI20251027001804
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolle Horaitis's NPI number?

The NPI number for Nicolle Horaitis is 1023820388. It was assigned to this individual provider in the NPPES registry on January 23, 2025. The provider is also known as Nicolle Stafford.

Where is Nicolle Horaitis located?

Nicolle Horaitis practices at 1108 Ross Clark Cir # 4, Dothan, AL 36301. The listed phone number is (334) 355-1706.

What is Nicolle Horaitis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicolle Horaitis enrolled in Medicare?

Yes. Nicolle Horaitis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicolle Horaitis was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.