NICKOLE DAWN COREY PMHNP-C
NPI 1205480688
Nurse Practitioner - Psychiatric/Mental Health in Lewiston, ID

Q: What is Nickole Corey's NPI number?

The NPI number for Nickole Corey is 1205480688. It was assigned to this individual provider in the NPPES registry on July 24, 2019. The provider is also known as Nickole Dawn Tinney Pmhnp-C.

Q: What is Nickole Corey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nickole Corey was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 24, 2019PECOS Enrolled

1203 IDAHO ST, LEWISTON, ID 83501(509) 444-8200 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2026, Nov 7, 2023, Jul 24, 2019 (3 updates tracked since 2019).

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About Nickole Dawn Corey Pmhnp-c NPPES

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

NICKOLE DAWN COREY PMHNP-C (NPI 1205480688) is an individual psychiatric/mental health provider in Lewiston, Idaho, licensed in Idaho (5371398) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205480688

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICKOLE DAWN COREYCredential: PMHNP-C

Location Address1203 IDAHO STLewiston, ID 83501-1940

Mailing Address731 N Iron Bridge WaySpokane, WA 99202-4926 · (509) 444-8888

Phone(509) 444-8200

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 24, 2019

Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1205480688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · 5371398

1203 IDAHO ST, Lewiston, ID 83501

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Other Names 1

Former Name (1)Nickole Dawn Tinney Pmhnp-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nickole Dawn Corey Pmhnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698242675

PECOS Enrollment IDI20260428000257

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 83501 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

VERONICA ROSE MUNDELL LCSW

Social Worker (Clinical)