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NICOLE ANGELINA HENNIGAN FNP-C
NPI 1124502273
Nurse Practitioner - Family in Anthem, AZ

Active since September 24, 2018PECOS Enrolled
42302 N VISION WAY STE 114, ANTHEM, AZ 85086(623) 570-2162 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2021, Jun 8, 2021, Nov 9, 2020 and 2 more (5 updates tracked since 2018).

About Nicole Angelina Hennigan Fnp-c NPPES

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

NICOLE ANGELINA HENNIGAN FNP-C (NPI 1124502273) is an individual family provider in Anthem, Arizona, licensed in Arizona (220086) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1124502273
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE ANGELINA HENNIGANCredential: FNP-C
Location Address42302 N VISION WAY STE 114Anthem, AZ 85086-1468
Mailing Address42302 N Vision Way Ste 114Anthem, AZ 85086-1468 · (623) 570-2162
Phone(623) 570-2162
Sole ProprietorYes
Enumeration DateSeptember 24, 2018
Last NPPES UpdateJuly 15, 20255 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1124502273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 220086
Also ListedRegistered NurseTaxonomy 163W00000X · License RN161920 (AZ)
42302 N VISION WAY STE 114, Anthem, AZ 85086
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Other Names 1

Former Name (1)Nicole Angelina Ricci Rn

Secondary Practice Location 1

Location 111209 N Tatum Blvd Ste 140Phoenix, AZ 85028-3024 · Phone (602) 730-4535

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 Angelina Hennigan Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85086 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Hennigan's NPI number?

The NPI number for Nicole Hennigan is 1124502273. It was assigned to this individual provider in the NPPES registry on September 24, 2018. The provider is also known as Nicole Angelina Ricci Rn.

Where is Nicole Hennigan located?

Nicole Hennigan practices at 42302 N Vision Way Ste 114, Anthem, AZ 85086. The listed phone number is (623) 570-2162.

What is Nicole Hennigan's specialty?

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

Is Nicole Hennigan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Hennigan was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.