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

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: August 09, 2026.

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
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

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 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.

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.

Nurse Practitioner (Family)
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Social Worker (Clinical)
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Psychiatry & Neurology (Psychiatry)
1965 JEFFERSON DAVIS HWY, SUITE 100
FREDERICKSBURG, VA 22401
Family Medicine
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Chiropractor (Sports Physician)
1965 JEFFERSON DAVIS HWY, STE 200B
FREDERICKSBURG, VA 22401
Chiropractor
1965 JEFFERSON DAVIS HWY, SUITE 200B
FREDERICKSBURG, VA 22401
Dentist
1965 JEFFERSON DAVIS HWY, SUITE 100
FREDERICKSBURG, VA 22401
Chiropractor
1965 JEFFERSON DAVIS HWY, SUITE 2008
FREDERICKSBURG, VA 22401

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.

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.