NICOLE MARIE PRISTERA M.D.
NPI 1033572664
Internal Medicine - Cardiovascular Disease in Raleigh, NC

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
3400 WAKE FOREST RD, RALEIGH, NC 27609(919) 954-3000 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Mar 31, 2016 (2 updates tracked since 2016).

About Nicole Marie Pristera M.d. NPPES

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

NICOLE MARIE PRISTERA M.D. (NPI 1033572664) is an individual cardiovascular disease provider in Raleigh, North Carolina, licensed in North Carolina (2023-01765) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1033572664
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameNICOLE MARIE PRISTERACredential: M.D.
Location Address3400 WAKE FOREST RDRaleigh, NC 27609-7317
Mailing Address3400 Wake Forest RdRaleigh, NC 27609-7317 · (919) 954-3000
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
NPI 1033572664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 2023-01765
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3400 WAKE FOREST RD, Raleigh, NC 27609

Secondary Practice Location 1

Location 12301 Erwin RoadDurham, NC 27710-4699 · Phone (919) 684-8111

Accepted Insurance

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

Nicole Marie Pristera M.d. 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 ID1052605896
PECOS Enrollment IDI20230721000651
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.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
378 services303 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
128 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services68 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
91 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services46 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
63 services62 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
3400 WAKE FOREST RD
RALEIGH, NC 27609
Nurse Practitioner (Family)
3400 WAKE FOREST RD
RALEIGH, NC 27609
General Acute Care Hospital
3400 WAKE FOREST RD
RALEIGH, NC 27609
Internal Medicine
3400 WAKE FOREST RD
RALEIGH, NC 27609
Nurse Anesthetist, Certified Registered
3400 WAKE FOREST RD
RALEIGH, NC 27609
Radiology (Vascular & Interventional Radiology)
3400 WAKE FOREST RD
RALEIGH, NC 27609
Physician Assistant
3400 WAKE FOREST RD
RALEIGH, NC 27609
Student in an Organized Health Care Education/Training Program
3400 WAKE FOREST RD
RALEIGH, NC 27609

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 Nicole Pristera's NPI number?

The NPI number for Nicole Pristera is 1033572664. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Nicole Pristera located?

Nicole Pristera practices at 3400 Wake Forest Rd, Raleigh, NC 27609. The listed phone number is (919) 954-3000.

What is Nicole Pristera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nicole Pristera enrolled in Medicare?

Yes. Nicole Pristera 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.

What insurance does Nicole Pristera accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Nicole Pristera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Pristera affiliated with any hospitals?

According to CMS data, Nicole Pristera is affiliated with Duke University Hospital and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Pristera was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.