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NICOLE FEARON APRN
NPI 1073942546
Nurse Practitioner - Family in Glastonbury, CT

Active since November 05, 2013PECOS Enrolled
2639 MAIN ST, GLASTONBURY, CT 06033(860) 659-1329 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Fearon Aprn NPPES

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

NICOLE FEARON APRN (NPI 1073942546) is an individual family provider in Glastonbury, Connecticut, licensed in Connecticut (005480) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073942546
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE FEARONCredential: APRN
Location Address2639 MAIN STGlastonbury, CT 06033-2023
Mailing Address99 Beaman BrkBloomfield, CT 06002-4005 · (860) 371-6636
Phone(860) 659-1329
Sole ProprietorYes
Enumeration DateNovember 5, 2013
✔ NPI 1073942546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 005480
2639 MAIN ST, Glastonbury, CT 06033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Fearon Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Fearon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Matrix Medical Plus
853 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Connecticut enrollment
  • 79 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

EMILY JUNG
Physician Assistant
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1329
MADISON LEE CORSINI
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1329
MRS. SABIENNE EMILIE LEGROS FNP
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1329
MS. DEBBIE MARIE GOULD FNP, APRN
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1329
ISRAA ALI PCT
Pharmacist
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 933-5544
EARTHA MARQUIS FNP
Nurse Practitioner (Family)
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (866) 389-2727
AMANDA ROSE BISSONNETTE MATTEI APRN
Nurse Practitioner
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1329
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy
2639 MAIN ST
GLASTONBURY, CT 06033
Capitol Planning Region (860) 659-1329

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 Fearon's NPI number?

The NPI number for Nicole Fearon is 1073942546. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Nicole Fearon located?

Nicole Fearon practices at 2639 Main St, Glastonbury, CT 06033. The listed phone number is (860) 659-1329.

What is Nicole Fearon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Fearon enrolled in Medicare?

Yes. Nicole Fearon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Fearon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Fearon reassigns Medicare benefits to Matrix Medical Plus (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Fearon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Fearon was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.