NICOLE PERNOD-LIBOY PSY.D.
NPI 1093259590
Psychologist - Clinical in Fredericksburg, VA

Q: What is Nicole Pernod-liboy's NPI number?

The NPI number for Nicole Pernod-liboy is 1093259590. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Q: What is Nicole Pernod-liboy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 19, 2016PECOS EnrolledAccepts Medicare Assignment

1965 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401(540) 735-0560 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Nicole Pernod-liboy Psy.d. NPPES

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

NICOLE PERNOD-LIBOY PSY.D. (NPI 1093259590) is an individual clinical provider in Fredericksburg, Virginia, licensed in Virginia (0810005594) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093259590

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNICOLE PERNOD-LIBOYCredential: PSY.D.

Location Address1965 JEFFERSON DAVIS HWYFredericksburg, VA 22401-6213

Mailing Address1965 Jefferson Davis HwyFredericksburg, VA 22401-6213 · (540) 735-0560

Phone(540) 735-0560

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 19, 2016

✔ NPI 1093259590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810005594

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1965 JEFFERSON DAVIS HWY, Fredericksburg, VA 22401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Pernod-liboy Psy.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 ID648547737

PECOS Enrollment IDI20170519001729

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 Pernod-liboy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dougan And Walden Wellness, PLLC

55 mi

Psychologist

312 BROWNS HILL CT
Midlothian, VA 23114

Reassigned Medicare billing, Virginia enrollment
11 clinicians in this Medicare group

NPI 1396259602 (804) 893-5555

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 22401 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 9

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

CARRIE A SCHAEFER NP

Nurse Practitioner (Family)

1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 735-0560

CRYSTAL CHANCE LCSW

Social Worker (Clinical)

1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 735-0650

DR. LAWRENCE BORDEN LEE JR. MD

Psychiatry & Neurology (Psychiatry)

1965 JEFFERSON DAVIS HWY, SUITE 100
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 370-4468

DR. JOHN D. MANDEVILLE DO

Family Medicine

1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 735-0560

360 HEALTH AND REHAB

Chiropractor (Sports Physician)

1965 JEFFERSON DAVIS HWY, STE 200B
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 373-1303

DR. HEATHER RENE O'QUINN D.C.

Chiropractor

1965 JEFFERSON DAVIS HWY, SUITE 200B
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 373-1303

DR. SON T DUONG D.D.S.

Dentist

1965 JEFFERSON DAVIS HWY, SUITE 100
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 735-0560

DR. SARAH-ANN ENG D.C.

Chiropractor

1965 JEFFERSON DAVIS HWY, SUITE 2008
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 373-1303

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 Pernod-liboy's NPI number?

The NPI number for Nicole Pernod-liboy is 1093259590. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Where is Nicole Pernod-liboy located?

Nicole Pernod-liboy practices at 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401. The listed phone number is (540) 735-0560.

What is Nicole Pernod-liboy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Pernod-liboy enrolled in Medicare?

Yes. Nicole Pernod-liboy 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.

Which organization bills Medicare for Nicole Pernod-liboy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pernod-liboy reassigns Medicare benefits to Dougan And Walden Wellness, PLLC (Midlothian, VA). 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 Pernod-liboy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Pernod-liboy accept?

Health plans from Oscar Health list Nicole Pernod-liboy 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.

When was this NPI record last updated?

The NPPES record for Nicole Pernod-liboy was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.