NICOLE NEVILLE
NPI 1043068265
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Nicole Neville's NPI number?

The NPI number for Nicole Neville is 1043068265. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Nicole Neville's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Neville was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 13, 2024PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 4, 2025, May 13, 2024 (2 updates tracked since 2024).

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About Nicole Neville NPPES

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

NICOLE NEVILLE (NPI 1043068265) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043068265

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE NEVILLE

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608

Phone(313) 916-2600

Sole ProprietorYes

Enumeration DateMay 13, 2024

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1043068265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Neville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

HENRY FORD HOSPITAL

General Acute Care Hospital