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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NICOLE GENE NEELEY MD
NPI 1205539251
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Active since March 27, 2023PECOS Enrolled
453 QUARRY RD, PALO ALTO, CA 94304(844) 733-2762 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2026, Jul 3, 2023, Mar 27, 2023 (3 updates tracked since 2023).

About Nicole Gene Neeley Md NPPES

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

NICOLE GENE NEELEY MD (NPI 1205539251) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205539251
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE GENE NEELEYCredential: MD
Location Address453 QUARRY RDPalo Alto, CA 94304-1419
Mailing Address453 Quarry RdPalo Alto, CA 94304-1419
Phone(844) 733-2762
Sole ProprietorYes
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1205539251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPediatricsTaxonomy 208000000X · License 94-11415 (KS), 2023021638 (MO)
453 QUARRY RD, Palo Alto, CA 94304
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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 Gene Neeley Md 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.

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.

WILLIAM BAI LU JI
Radiology (Diagnostic Radiology)
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 725-6344
MONIKA MARIE SULLIVAN DO
Pediatrics (Pediatric Nephrology)
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (415) 529-0255
JOY QIYUE HE MD, PHD
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 723-2300
DHIRAJ J PANGAL
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 723-5575
MEGAN CORN
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 498-7570
EMMA SINGLETON
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 725-6079
EMILY YANG
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 723-4000
DUNCAN STUART FERGUSON MD
Student in an Organized Health Care Education/Training Program
453 QUARRY RD
PALO ALTO, CA 94304
Santa Clara County (650) 498-4821

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 Neeley's NPI number?

The NPI number for Nicole Neeley is 1205539251. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Nicole Neeley located?

Nicole Neeley practices at 453 Quarry Rd, Palo Alto, CA 94304. The listed phone number is (844) 733-2762.

What is Nicole Neeley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Neeley enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Neeley was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.