NICOLE SAPONE MANDRYCKY AGACNP-BC
NPI 1073015814
Nurse Practitioner - Acute Care in Roswell, GA

Active since March 07, 2018PECOS EnrolledAccepts Medicare Assignment
4500 HOSPITAL BLVD STE 230, ROSWELL, GA 30076(470) 956-4560 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, May 16, 2023, Oct 19, 2020 and 3 more (6 updates tracked since 2018).

About Nicole Sapone Mandrycky Agacnp-bc NPPES

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

NICOLE SAPONE MANDRYCKY AGACNP-BC (NPI 1073015814) is an individual acute care provider in Roswell, Georgia, licensed in Georgia (RN272048) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Wellstar North Fulton Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073015814
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE SAPONE MANDRYCKYCredential: AGACNP-BC
Location Address4500 HOSPITAL BLVD STE 230Roswell, GA 30076-0001
Mailing Address4500 Hospital Blvd Ste 230Roswell, GA 30076-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 7, 2018
Last NPPES UpdateMay 17, 20246 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
NPI 1073015814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN272048
4500 HOSPITAL BLVD STE 230, Roswell, GA 30076

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 Sapone Mandrycky Agacnp-bc 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 ID3971868233
PECOS Enrollment IDI20231120002174
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

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.

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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 6

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

Surgery (Surgical Critical Care)
4500 HOSPITAL BLVD STE 230
ROSWELL, GA 30076
Orthopaedic Surgery
4500 HOSPITAL BLVD STE 230
ROSWELL, GA 30076
Internal Medicine (Interventional Cardiology)
4500 HOSPITAL BLVD STE 230
ROSWELL, GA 30076
Physician Assistant
4500 HOSPITAL BLVD STE 230
ROSWELL, GA 30076
General Acute Care Hospital
4500 HOSPITAL BLVD STE 230
ROSWELL, GA 30076
Nurse Practitioner (Family)
4500 HOSPITAL BLVD STE 230
ROSWELL, GA 30076

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 Mandrycky's NPI number?

The NPI number for Nicole Mandrycky is 1073015814. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Nicole Mandrycky located?

Nicole Mandrycky practices at 4500 Hospital Blvd Ste 230, Roswell, GA 30076. The listed phone number is (470) 956-4560.

What is Nicole Mandrycky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Mandrycky enrolled in Medicare?

Yes. Nicole Mandrycky 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 Mandrycky accept?

Health plans from Alliant Health Plans, Inc. list Nicole Mandrycky 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 Mandrycky affiliated with any hospitals?

According to CMS data, Nicole Mandrycky is affiliated with Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Mandrycky was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.